Tillman Optometry LLC

Tillman Optometry LLC is a healthcare organization registered as Eyewear Supplier in Rice Lake, WI, holding Type 2 (organization) NPI 1538142989 since 2005. The authorized official on file is Robert Tillman, Owner.

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NPI	1538142989
Entity type	Organization (Type 2)
Legal business name	Tillman Optometry LLC
Practice address	2304 S MAIN ST, Rice Lake, WI, 54868
Phone	7157361700
Enumeration date	2005-11-21
Last updated in NPPES	2012-02-20

Authorized official

Name	Robert Tillman
Title	Owner
Phone	7157361700

Taxonomy & classification

Taxonomy code	Specialty	Primary	License	State
152W00000X	Optometrist	Secondary	—	—
332H00000X	Eyewear Supplier	Primary	—	—

Other identifiers

Identifier	Type	State	Issuer
130004329	Other	WI	WEA
38563500	Medicaid	WI	—

Copy-ready billing details

Provider: Tillman Optometry LLC
NPI: 1538142989
Taxonomy: 332H00000X (Eyewear Supplier)
Address: 2304 S MAIN ST, Rice Lake, WI, 54868

Providers at this address

NPI	Name	Type	Specialty	Location
1457330276	Robert Tillman	Individual	Optometrist	Rice Lake, WI

Verify this record

Cross-check NPI 1538142989 against the authoritative CMS record: view Tillman Optometry LLC on the official NPPES registry .

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.

Frequently asked questions

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2012-02-20. Verify at npiregistry.cms.hhs.gov.

Where is Tillman Optometry LLC located?

The practice location on file with NPPES is in Rice Lake, WI.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2012-02-20.