DANIEL L TILLER PA NPI 1861485989

NPI Information

  • NPI: 1861485989
  • Provider Name: DANIEL L TILLER PA
  • Classification: Optometrist - 152W00000X
  • Entity Type: Organization
  • Doing Business As: ADVANCED EYECARE
  • CLIA Number: 13D2041621
  • Address: 901 12TH AVE S
    NAMPA, ID
    ZIP 83651
  • Phone: (208) 466-9251

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NPI Details

DANIEL L TILLER PA is an optometrist in Nampa, ID. The provider is doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists 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. An optometrist has 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. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. DANIEL L TILLER PA NPI is 1861485989. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Advanced Eyecare.

The provider's business location address is:

901 12TH AVE S
NAMPA, ID
ZIP 83651-658
Phone: (208) 466-9251
Fax: (208) 463-1714

The provider's authorized official is Rodney L White .
The authorized official title is Owner and has the following contact phone number (208) 466-9251.

The CLIA number assigned to this NPI record is 13D2041621 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/24/2005 and was last updated on 1/14/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1152W00000XOptometristIDAHOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1V213-4OTHERIDAHOBLUE CROSS OF IDAHO
21375555MEDICARE PINIDAHO
3807007400MEDICAIDIDAHO
40613630001MEDICARE NSCIDAHO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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