Search › Illinois › 152W00000X
Jay Tallis, OD
NPI 1083627830 · on the registry since 2006 · sole proprietor
Practice
- Address
- 915 N Main St
Bloomington, IL 61701 - Phone
- (309) 827-8434
- Fax
- (309) 828-6741
- Organisation at this address
- Tallis Optometry, Pllc
J.E. Tallis Dba American Vision CenterInferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 152W00000X
152W00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2014-11-28
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois