Dr. Charles P Tillman Jr. is a Eupora, Mississippi based male Optometrist with 41 years of experience in Optometry. He completed his graduation from Southern College Of Optometry in 1983. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Dr. Charles P Tillman Jr. is 519 for Optometry in Mississippi. Dr. Charles P Tillman Jr. examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. He completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. He is a eye health care professional who is state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Complete Profile:
Dr. Charles P Tillman Jr. speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Optometry
Credentials:
O.D.
Experience:
41+ years
Medical School Attended:
Southern College Of Optometry
Graduation Year:
1983
Gender:
Male
Accepts Medicare Assignment:
Yes
Practice Address:
3126 E Roane Ave, Eupora, Mississippi, 39744-2638
Phone:
662-258-2020
Fax:
662-258-2030
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
6204905847
Enrollment ID:
I20080521000902
NPI Number:
1275630626
NPI Enumeration Date:
20 Sep, 2006
NPI Last Update On:
27 May, 2008
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Charles P Tillman Jr. are as mentioned below.
License Number
Specialization
State
Status
519
Optometry
Mississippi
Primary
Group Practice:
Group practices are run by a group of physicians who share their premises and other resources. Following list states all the group name
with which Dr. Charles P Tillman Jr. has association with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Eye Clinic Of Eupora, Inc (9931278561)
2
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Charles P Tillman Jr. such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
0087039
Medicaid
Mississippi
1772968
Medicaid
Louisiana
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Po Box 225, 3126 E Roane Ave Eupora, Mississippi
Zip:
39744-0225
Phone Number:
662-258-2020
Fax Number:
662-258-2030
Patients can reach Dr. Charles P Tillman Jr. at 3126 E Roane Ave, Eupora, Mississippi or can call to book an appointment on 662-258-2020. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.