P Praxis·MD
● Active Type 2 · Organization

Daniel L Tiller PA

Optometrist·Nampa, ID· NPI 1861485989 · Enumerated 2005 · 20 years on NPI
Daniel L Tiller PA is 1 of 598 optometrist organizations in Idaho.
NPI age
20 years
Enumerated 2005-08-24
Primary specialty
Optometrist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
White
Owner
Last NPPES update
2010-01-14
Source: monthly bulk 2026-05

How this organization compares

Across 598 active optometrist providers in Idaho.

NPI age
20 years
↑ 2 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2005 → 2026

2005-08Enumerated in NPPES
2005 2026

Where they practice

Primary practice location
901 12th Ave S
Nampa, ID 836514658
📞 2084669251fax 2084631714
Mailing address
901 12th Ave S
Nampa, ID 836514658
📞 2084669251fax 2084631714

Authorized official

Rodney L White, O.D.
Owner
📞 2084669251

Individual providers at this organization

6 individual providers on file at this primary practice address.

Specialties

  • Optometrist Primary
    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...
    taxonomy 152W00000X

Identifiers

TypeValueNotes
05 (ID) 807007400
01 (ID) V213-4 BLUE CROSS OF IDAHO

Other names on file (1)

Doing-business-as, former, and alternate names recorded by NPPES.

  • Advanced Eyecare
    Type code 3 recorded 2005-08-24

Practice context

Multi-provider organization. 6 individual providers on file at this primary address.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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