Whalio Doctors

NPI 1417190638

Sheena M Tillman

Practitioner Optician Columbia, MD

Practice location

Address
10300 Little Patuxent Pkwy, Columbia, MD 21044-3341
Phone
(410) 884-6500
Fax
(410) 884-0873

Registered specialties (2)

Optician Primary
Eye and Vision Services Providers Taxonomy 156FX1800X
Ophthalmic Technician/Technologist
Eye and Vision Services Providers Taxonomy 156FX1100X

Registry record

NPI
1417190638
Entity type
Individual
Sex (as registered)
Female
NPI issued
17 Apr 2009
Record last updated
17 Apr 2009

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.