Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JAY E TALLIS, OD
Active Sole ProprietorDR. JAY E TALLIS, OD is a Optometrist healthcare provider located in BLOOMINGTON, Illinois. NPI 1083627830 is currently active in the NPPES registry. Verify at CMS.
Optometrist · BLOOMINGTON, IL
Registration Details
- NPI Number
- 1083627830
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 14, 2006 (19.819480423998 yrs)
- Last Updated
- Nov 28, 2014
- License
-
046-007271 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
915 N MAIN STBLOOMINGTON, IL, 617013043Browse IL providers · Browse ZIP 61701
- Phone
- 3098278434
- Fax
- 3098286741
- Primary Specialty
-
Optometrist
152W00000X
Other Optometrist Providers in BLOOMINGTON, IL
| Name | Credential | NPI |
|---|---|---|
| DR. ANDREW W. BACKUS | O.D. | 1336131259 |
| DR. DENNIS M BRTVA | O.D. | 1215909056 |
| SHAWN M KOEHLER | O.D. | 1336180876 |
| THOMAS L MAHAFFEY | OD | 1669401139 |
| DR. WILSON W. MOVIC | O.D. | 1194730648 |
| DR. JOHN FRANCIS COUILLARD | O.D. | 1053404780 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.