J.E. Tallis Dba American Vision Center in Bloomington - Optometrist

J.E. Tallis Dba American Vision Center - NPI 1164698148

J.E. Tallis Dba American Vision Center is a Optometrist in Bloomington, Illinois. J.E. Tallis Dba American Vision Center practices all healthcare services and medical treatments related to Optometrist. The NPI Number for J.E. Tallis Dba American Vision Center is 1164698148. The last update date is 2008-07-14.

J.E. Tallis Dba American Vision Center's current location address is 915 N Main St, Bloomington, Illinois. You can contact this provider via phone number 3098278434 and fax number 3098286741. The mailing address for J.E. Tallis Dba American Vision Center is 915 N Main St, Bloomington, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Organization J.E. Tallis Dba American Vision Center
Address 915 N Main St, Bloomington, Illinois
Phone Number 3098278434
Fax Number 3098286741
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OFFICE MAN
Authorized Official Name Tallis Chrisann
Telephone Number 3098278434

NPI Number Detail

NPI Number 1164698148
Provider Enumeration Date 2008-04-30
Last Updated Date 2008-07-14

Provider Mailing Address Detail

Address 915 N Main St
City Bloomington
State Illinois (IL)
Post Code 617013043
Phone Number 3098278434
Fax Number 3098286741

Provider's Primary Taxonomy Detail

Speciality Optometrist
Taxonomy 152W00000X
Licence No 46007271
Definition:
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 identify related

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
46007271 IL --
934801 IL MEDICARE ID

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FAQs about J.E. Tallis Dba American Vision Center

What is the unique identifier code issued to J.E. Tallis Dba American Vision Center by the Centers for Medicare & Medicaid Services?

The J.E. Tallis Dba American Vision Center has been assigned the NPI (National Provider Identifier) 1164698148. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you share the physical location details of J.E. Tallis Dba American Vision Center?

The J.E. Tallis Dba American Vision Center is situated at 915 N Main St, in the city of Bloomington, state of IL, with the zip code 617013043.

What is J.E. Tallis Dba American Vision Center's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for J.E. Tallis Dba American Vision Center is Optometrist, and the corresponding taxonomy classification code for this specialized field is 152W00000X.

On what date did J.E. Tallis Dba American Vision Center receive its 1164698148 assignment from the Centers for Medicare & Medicaid Services?

The J.E. Tallis Dba American Vision Center was assigned its 1164698148 on 2008-04-30, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information regarding J.E. Tallis Dba American Vision Center most recently updated?

The details pertaining to the J.E. Tallis Dba American Vision Center, including its address, specialty, and other relevant information, were last refreshed on 2008-07-14.

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