Kurt E Tillman, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

18002713B Issued in IN

Practice address

1700 S Green River Rd
Evansville, IN 47715-5744

Phone

(812) 423-1142

Fax

(812) 962-4300

NPI assigned

Feb 17, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in IN

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

Indiana University - School of Optometry, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

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.

• Tillman Eyecare PC

  • Optometrist
  • Evansville, IN
  • NPI 1588727101

  IN, Optometrist

  Medicare reassignment NPD Authorized official
• American Eye Associates, LLC

  • Ophthalmology Physician
  • Evansville, IN
  • NPI 1477541449
  NPD (past)
• Hayden Vision LLC

  • Ophthalmology Physician
  • Evansville, IN
  • NPI 1982910253

  Optometrist

  NPD (past)
• Tillman Eyecare East P.C.

  • Optometrist
  • Evansville, IN
  • NPI 1346273901
  NPD (past)

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

{
    "created_epoch": "1140134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698710400000",
    "number": "1265407969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 S GREEN RIVER RD",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477155744",
            "telephone_number": "812-476-4936",
            "fax_number": "812-962-4300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 S GREEN RIVER RD",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477155744",
            "telephone_number": "812-423-1142",
            "fax_number": "812-962-4300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TILLMAN",
        "first_name": "KURT",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-17",
        "last_updated": "2023-10-31",
        "certification_date": "2023-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18002713B",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "000000501097",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100464900A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Richard A Tibbals, M.D.
• Tiffany Blackburn, LLC
• Natalie Tiffany
• Tillman Eyecare East P.C.
• Tillman Eyecare PC
• Jeff Tilly, ATC
• Bintou Timbine
• Tori Lyn Timmons, APRN, NP-C
• Jona Sue Tindle, OTR
• Gagan Tindoni, MD

• All providers in Evansville, IN
• Optometrist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2023; 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.