NPI 1154314268

Daniel L Tiller, OD

Practitioner Optometrist Nampa, ID

Practice location

Address: 901 12th Ave S, Nampa, ID 83651-4658
Phone: (208) 466-9251
Fax: (208) 463-1714

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence ODP-696 (ID)

Other Optometrist providers in Idaho →

Registry record

NPI: 1154314268
Entity type: Individual
Sex (as registered): Male
NPI issued: 24 Aug 2005
Record last updated: 10 Mar 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.