Charles P Tillman Jr. (NPI# 1275630626, PAC ID# 6204905847) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1275630626 |
| PAC ID by PECOS | 6204905847 |
| Professional Enrollment ID | I20080521000902 |
| Full Name | Charles P Tillman Jr. |
| Organization Legal Name | EYE CLINIC OF WEST POINT, INC |
| Address |
26225 W Main St West Point MS 39773-2749 |
| Phone Number | 6624942020 |
| Gender | M |
| Medical School | SOUTHERN COLLEGE OF OPTOMETRY |
| Graduation Year | 1983 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 6204990492 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 3126 E Roane Ave, Eupora, MS 39744-2638 | 6622582020 | EYE CLINIC OF EUPORA, INC |
| 26225 W Main St, West Point, MS 39773-2749 | 6624942020 | EYE CLINIC OF WEST POINT, INC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% | |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% | |
| MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 100% | |
| MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 100% |
| Organization Legal Name | EYE CLINIC OF WEST POINT, INC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stacie L Moore | Optometry | Eye Clinic of West Point, Inc | 26225 W Main St, West Point, MS 39773-2749 |
| Street Address |
26225 W MAIN ST |
| City | WEST POINT |
| State | MS |
| Zip | 39773-2749 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stacie L Moore | Optometry | Eye Clinic of West Point, Inc | 26225 W Main St, West Point, MS 39773-2749 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kayla L Warner | Nurse Practitioner | Keystone Medical Services of West Point Inc | 150 Medical Ctr Dr, West Point, MS 39773-0428 |
| Stephanie B Lange | Nurse Practitioner | West Point Obgyn Pa | 116 Medical Ctr Dr, West Point, MS 39773-0428 |
| Hiroji Noguchi | General Surgery | Clay County Medical Corporation | 187 Medical Ctr Dr, West Point, MS 39773-0428 |
| William M Billington Jr. | Family Practice | 104 Medical Ctr Dr, West Point, MS 39773-0428 | |
| Sarah M Powell | Nurse Practitioner | Clay County Medical Corporation | 150 Medical Ctr Dr, West Point, MS 39773-0428 |
| Erin A Barnes | Nurse Practitioner | Keystone Medical Services of West Point Inc | 150 Medical Ctr Dr, West Point, MS 39773-0428 |
| John R Browning | Family Medicine | Keystone Medical Services of West Point Inc | 150 Medical Ctr Dr, West Point, MS 39773-0428 |
| Obioma Ogbonna | Emergency Medicine | Keystone Medical Services of West Point Inc | 150 Medical Ctr Dr, West Point, MS 39773-0428 |
| Stacey S George | Certified Registered Nurse Anesthetist (crna) | Clay County Medical Corporation | 150 Medical Ctr Dr, West Point, MS 39773-0428 |
| Elisabeth Faith Hale | Certified Registered Nurse Anesthetist (crna) | Clay County Medical Corporation | 150 Medical Ctr Dr, West Point, MS 39773-0428 |
| Find all physicians in zip 39773 | |||
| City | WEST POINT |
| Zip Code | 39773 |
| Specialty | OPTOMETRY |
| City + Specialty | WEST POINT + OPTOMETRY |
Please comment or provide details below to improve the information on Charles P Tillman Jr..
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.