William Thomas Tillar III O.D.

NPI 1063510113 - Optometrist - 152W00000X

NPI Details
NPI 1063510113
Gender Male
Enumeration Date 09/20/2006
Last Updated 06/29/2010
Entity Type Individual
Active Over 10 years ago
Practice Location
425 S MAIN ST
SUITE D
EMPORIA VA, 23847-2300, US
Phone (434) 634-5195
Fax (434) 634-0203
Business Location
425 S MAIN ST
SUITE D
EMPORIA VA, 23847-2300, US
Phone (434) 634-5195
Fax (434) 634-0203
Toxanomy
Taxonomy Code 152W00000X
License State Virginia
License Number 0618000522
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According to our database, Dr. William Thomas Tillar III O.D. NPI is 1063510113, taxonomy code is 152W00000X and license number is 0618000522, license state is located at Virginia. William Thomas Tillar III O.D. physically located at 425 S Main St, Emporia VA, 23847-2300. NPI Number William Thomas Tillar III O.D. has the Individual type.

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1063510113 NPI number is provided on an as is basis without warranty of any kind. 1063510113 is maintained by the National Plan & Provider Enumeration System. The contents of William Thomas Tillar III O.D. are for informational purposes only.