J.e. Tallis DBA American Vision Center
NPI #1164698148 in Bloomington, Illinois
Provider Information
- NPI Number
- 1164698148
- Entity Type
- Organization
- Organization Name
- J.e. Tallis DBA American Vision Center
- Primary Specialty
- Optometrist
- Enumeration Date
- Apr 30, 2008
- Last Updated
- Jul 14, 2008
Practice Location
- Address
- 915 N MAIN ST
- City
- Bloomington
- State
- Illinois
- ZIP Code
- 61701-3043
- Phone
- (309) 827-8434
Authorized Official
- Name
- MRS. CHRISANN TALLIS
- Title
- OFFICE MANAGER
- Phone
- (309) 827-8434
Specialties & Taxonomy Codes
| Specialty |
|---|
| Optometrist |
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