DR. Jay E Tallis, OD
NPI #1083627830 in Bloomington, Illinois
Provider Information
- NPI Number
- 1083627830
- Entity Type
- Individual
- Name
- DR. Jay E Tallis, OD
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Optometrist
- Credential
- OD
- Enumeration Date
- Aug 14, 2006
- Last Updated
- Nov 28, 2014
Practice Location
- Address
- 915 N MAIN ST
- City
- Bloomington
- State
- Illinois
- ZIP Code
- 61701-3043
- Phone
- (309) 827-8434
Specialties & Taxonomy Codes
| Specialty |
|---|
| Optometrist |
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