| NPI | 1114201381 |
|---|---|
| Doing Business As | TILLIS EYECARE CENTER |
| Entity Type | Organization |
| Authorized Contact | AMIT CHOKSHI Owner 904-346-3506 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Enumeration Date | 2011-10-05 |
| Last Update Date | 2011-10-05 |