Jeremy Tillman, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

2447DT Issued in KY

Practice address

220 W 18TH St
Hopkinsville, KY 42240-1963

Phone

(270) 886-2293

NPI assigned

Jul 8, 2025

Last updated

Jul 8, 2025By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in KY

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

Other, 2025

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bastin Optometric Eye ClinicGroup PAC ID 9436278181, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Bastin Optometric Eye Clinic

  • Optometrist
  • Hopkinsville, KY
  • NPI 1043487515
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1751932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751932800000",
    "number": "1881584233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 W 18TH ST",
            "city": "HOPKINSVILLE",
            "state": "KY",
            "postal_code": "422401963",
            "telephone_number": "270-886-2293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 W 18TH ST",
            "city": "HOPKINSVILLE",
            "state": "KY",
            "postal_code": "422401963",
            "telephone_number": "270-886-2293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TILLMAN",
        "first_name": "JEREMY",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-07-08",
        "last_updated": "2025-07-08",
        "certification_date": "2025-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KY",
            "license": "2447DT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven Lee Thore, MD
• Alexis Paige Thorne
• Lacey Jaye Thurman
• Consuela Tidwell
• Julie Tiell
• Trenka R Tingler
• Tma Counseling & Life Coaching Services LLC (TMA Counseling)
• Cassandra Toby, LPN
• Laura Lee Toliver, FNP
• Tombert Inc (Toms Family Pharmacy)

• Optometrist in Hopkinsville, KY
• Providers in Hopkinsville, KY by specialty
• Optometrist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.