THOMAS WAYNE TILTON (NPI# 1306805148) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306805148 |
| Entity Type | Individual |
| Full Name | THOMAS WAYNE TILTON |
| Credential | DO |
| Practice Address |
2240 Gateway Dr Sycamore IL 60178 |
| Practice Telephone | 8157568571 |
| Practice Fax Number | 8157561790 |
| Mailing Telephone | 8157568571 |
| Mailing Fax Number | 8157561790 |
| Enumeration Date | 2006-03-21 |
| Last Update Date | 2014-08-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | 036090013 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036090013 | 05 | |
| IL | MEDICARE | L73167 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891122966 | Thomas W Tilton | Physical Therapist | 191 Patchogue Yaphank Rd, East Patchogue, NY 11772-4899 | 2013-10-03 |
| Street Address |
2240 GATEWAY DR |
| City | SYCAMORE |
| State | IL |
| Zip Code | 60178 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588623318 | Kishwaukee Community Health Services Center | Clinic/Center | 2240 Gateway Dr, Sycamore, IL 60178 | 2006-03-21 |
| 1598109456 | Dekalb Optical Shop LLC | Optometrist | 2240 Gateway Dr, Sycamore, IL 60178-3103 | 2013-04-23 |
| 1912133638 | Matthew Charles Johnson | Ophthalmology | 2240 Gateway Dr, Sycamore, IL 60178-3103 | 2009-06-09 |
| 1598917965 | Jason Evan Brand | Optometrist | 2240 Gateway Dr, Sycamore, IL 60178-3103 | 2008-10-16 |
| 1427238757 | Elizabeth Allyn Appel | Optometrist | 2240 Gateway Dr, Sycamore, IL 60178-3103 | 2007-11-03 |
| 1427196856 | Hr Optical LLC | Optometrist | 2240 Gateway Dr, Sycamore, IL 60178-3103 | 2007-02-01 |
| 1124088455 | Kathy Ann Anderson | Ophthalmology | 2240 Gateway Dr, Sycamore, IL 60178 | 2006-03-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578113387 | Susanne Dewey | Technician | 2158 W. Vance St., Sycamore, IL 60178 | 2019-09-13 |
| 1730745332 | Nan Chinratana Phillips | Registered Nurse | 427 Spartan Trail Shs Nurse Office, Sycamore, IL 60178 | 2019-05-20 |
| 1427517846 | Association for Individual Development | Clinic/Center | 180 E. Exchange St., #202a, Sycamore, IL 60178 | 2019-03-15 |
| 1528508884 | Mary Elizabeth Kelley | Counselor | 920 S Prairie Dr., F, Sycamore, IL 60178 | 2017-03-06 |
| 1366824005 | Dekalb Hearing Services, LLC | Audiologist | 1630 Gateway Drive, Sycamore, IL 60178 | 2015-06-18 |
| 1629458625 | Friedrichs Eye Ltd. | Ophthalmology | 2670 Dekalb Avenue, Sycamore, IL 60178 | 2015-06-04 |
| 1275912057 | Sara Haug | Counselor | 324 E. Exchange St, Sycamore, IL 60178 | 2015-05-26 |
| 1144607862 | Dekalb Surgical Services, LLC | Clinic/Center | 2515 Klein Road, Sycamore, IL 60178 | 2015-05-01 |
| 1720476963 | Jennifer Calderala | Registered Nurse | 165 E. Plank Road, Sycamore, IL 60178 | 2014-12-22 |
| 1114262656 | Teresa Kay Farris | Nurse Practitioner | 1850 Gateway Drive, Sycamore, IL 60178 | 2012-12-11 |
| Find all providers in zip 60178 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629458625 | Friedrichs Eye Ltd. | Ophthalmology | 2670 Dekalb Avenue, Sycamore, IL 60178 | 2015-06-04 |
| 1962610642 | Jason C Friedrichs | Ophthalmology | 2670 Dekalb Ave., Sycamore, IL 60178-3110 | 2007-05-18 |
| 1831159706 | Chicagoland Retinal Consultants, LLC | Ophthalmology | 1630 Gateway Dr, Sycamore, IL 60178 | 2006-03-24 |
| 1972027472 | Illinois Eye, LLC | Ophthalmology | 1630 Gateway Dr, Sycamore, IL 60178-3182 | 2017-07-27 |
| 1912133638 | Matthew Charles Johnson | Ophthalmology | 2240 Gateway Dr, Sycamore, IL 60178-3103 | 2009-06-09 |
| 1124088455 | Kathy Ann Anderson | Ophthalmology | 2240 Gateway Dr, Sycamore, IL 60178 | 2006-03-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104433473 | Chicagoland Eye Consultants, Sc | Ophthalmology | 477 E Butterfield Rd Ste 101, Lombard, IL 60148-4880 | 2020-09-30 |
| 1649894189 | Lakeshore Ophthalmology, LLC | Ophthalmology | 2525 S Michigan Ave Fl 8, Chicago, IL 60616-2315 | 2020-06-01 |
| 1053940460 | Neil L Ross | Ophthalmology | 950 N Michigan Ave Apt 5403, Chicago, IL 60611-7535 | 2020-04-07 |
| 1932730256 | Cereesa E. Longest Md Sc | Ophthalmology | 225 Oak Knoll Rd, Barrington, IL 60010-2615 | 2020-01-27 |
| 1497314181 | Ophthalmology Surgery Center of Illinois, LLC | Ophthalmology | 1300 N Arlington Heights Rd Ste 150, Itasca, IL 60143-3128 | 2019-06-06 |
| 1770149049 | Rop Consultants LLC | Ophthalmology | 5228 N Virginia Ave, Chicago, IL 60625-4015 | 2019-05-13 |
| 1962969881 | Monique Munro | Ophthalmology | 1855 W Taylor Street. Suite 3138 Illinois Eye and Infir, Chicago, IL 60612 | 2019-02-27 |
| 1679039457 | Laser and Cataract Institute, LLC | Ophthalmology | 22200 Wolf Rd, Frankfort, IL 60423-7721 | 2019-02-15 |
| 1063987345 | Chataam Optical LLC | Ophthalmology | 8741 S Greenwood Ave Ste 108, Chicago, IL 60619-7058 | 2018-10-12 |
| 1922507474 | Dekalb Eye Consultants, LLC | Ophthalmology | 1075 Featherstone Rd Ste 10, Rockford, IL 61107-5906 | 2018-02-09 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.