Tobin B Tilley, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

03397TG Issued in TX

Practice address

708 Hill Country Dr Ste 100
Kerrville, TX 78028-6071

Phone

(830) 257-5656

Fax

(830) 257-5856

NPI assigned

Nov 25, 2005

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

University of Houston - College of Optometry, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Whitehead Eye Care PLLCGroup PAC ID 0244767226, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Whitehead Eye Care PLLC

  • Optometrist
  • Kerrville, TX
  • NPI 1023839602
  Medicare reassignment Care Compare group NPD
• Tilley Eye Care Centers LLC

  dba Vision Source

  • Optometrist
  • Kerrville, TX
  • NPI 1407929425
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1132876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752019200000",
    "number": "1215910088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "708 HILL COUNTRY DR",
            "address_2": "#100",
            "city": "KERVILLE",
            "state": "TX",
            "postal_code": "780286071",
            "telephone_number": "830-257-5656",
            "fax_number": "830-257-5856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "708 HILL COUNTRY DR STE 100",
            "city": "KERRVILLE",
            "state": "TX",
            "postal_code": "780286071",
            "telephone_number": "830-257-5656",
            "fax_number": "830-257-5856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TILLEY",
        "first_name": "TOBIN",
        "middle_name": "B",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-25",
        "last_updated": "2025-07-09",
        "certification_date": "2025-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "03397TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "093365703",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gary Alan Thorne, DDS
• Diane V Thornton, PT
• Ti - Kerrville, L.L.C. (Plaza on the River)
• Tilley Eye Care Centers LLC (Vision Source)
• Allan Rodney Tilley, LCDC
• Sara Mittasch Timmermann, M.D.
• Roberta Dawn Tipton, LPN
• Alissa N Tolbert, PA-C
• Eileen Marie Toloza-Thompson, MD
• Jana M Toy, MD

• Optometrist in Kerrville, TX
• Providers in Kerrville, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.