Thomas Wayne Tilton, DO

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

036090013 Issued in IL

Practice address

2240 Gateway Dr
Sycamore, IL 60178

Phone

(815) 756-8571

Fax

(815) 756-1790

NPI assigned

Mar 21, 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

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.

• Dekalb Eye Consultants, LLC

  • Ophthalmology Physician
  • Sycamore, IL
  • NPI 1326380510
  NPD (past)

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

{
    "created_epoch": "1142899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409184000000",
    "number": "1306805148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2240 GATEWAY DR",
            "city": "SYCAMORE",
            "state": "IL",
            "postal_code": "60178",
            "telephone_number": "815-756-8571",
            "fax_number": "815-756-1790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2240 GATEWAY DR",
            "city": "SYCAMORE",
            "state": "IL",
            "postal_code": "60178",
            "telephone_number": "815-756-8571",
            "fax_number": "815-756-1790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TILTON",
        "first_name": "THOMAS",
        "middle_name": "WAYNE",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-21",
        "last_updated": "2014-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IL",
            "license": "036090013",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036090013",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "L73167",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Three Birds Mental Health Services PLLC
• Lorri Thrower
• Megan Thurwanger, APRN, CNP
• Gregory Tierney, PHD
• Kristin Tilton, RN, BSN, MPH
• Timothy Tronc Counseling & Consulting LLC
• Tina Starkweather DPM & Assocaites, PC
• Tina Starkweather DPM & Associates PC
• Marisa E Tolzin
• Kenneth Paul TRCH, DDS

• Ophthalmology Physician in Sycamore, IL
• Providers in Sycamore, IL by specialty
• Ophthalmology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.