Tallis Optometry, Pllc
NPI #1891328530 in Bloomington, Illinois
Provider Information
- NPI Number
- 1891328530
- Entity Type
- Organization
- Organization Name
- Tallis Optometry, Pllc
- Primary Specialty
- Optometrist
- Enumeration Date
- Feb 21, 2020
- Last Updated
- Mar 4, 2020
Practice Location
- Address
- 915 N MAIN ST
- City
- Bloomington
- State
- Illinois
- ZIP Code
- 61701-3043
- Phone
- (309) 827-8434
Authorized Official
- Name
- JAY EDWIN TALLIS, OD
- Title
- OWNER
- Phone
- (309) 827-8434
Specialties & Taxonomy Codes
| Specialty |
|---|
| Optometrist |
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