| Tallis Optometry, Pllc | |
|
915 N Main St, Bloomington, IL 61701-3043 | |
| (309) 827-8434 | |
| (309) 828-6741 |
| Full Name | Tallis Optometry, Pllc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 915 N Main St, Bloomington, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891328530 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
| Provider Name | Jay E Tallis |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1083627830 PECOS PAC ID: 3870597305 Enrollment ID: I20060914000137 |
| Mailing Address | Practice Location Address |
|---|---|
| Tallis Optometry, Pllc 915 N Main St, Bloomington, IL 61701-3043 Ph: (309) 827-8434 | Tallis Optometry, Pllc 915 N Main St, Bloomington, IL 61701-3043 Ph: (309) 827-8434 |
Dr. Eric Birky, OD Optometrist Medicare: Medicare Enrolled Practice Location: 101 N Veterans Pkwy, Bloomington, IL 61704 Phone: 309-663-2700 Fax: 312-327-7621 | |
Dr. Christine D Clark, PH.D., TVI, DTV Optometrist Medicare: Not Enrolled in Medicare Practice Location: 221 Woodland Ave, Bloomington, IL 61701 Phone: 309-824-5841 | |
Dr. John Francis Couillard, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2103 E. Washington St., Suite 1d, Bloomington, IL 61701 Phone: 309-662-2277 Fax: 309-663-6472 | |
Megan V Mosley, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 101 N Veterans Pkwy, Bloomington, IL 61704 Phone: 309-663-2700 | |
Adam Sobin, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1008 N Main St, Bloomington, IL 61701 Phone: 309-829-5311 Fax: 309-827-8027 | |
Dr. Jay E Tallis, OD Optometrist Medicare: Medicare Enrolled Practice Location: 915 N Main St, Bloomington, IL 61701 Phone: 309-827-8434 Fax: 309-828-6741 | |
John Robert Fults, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1631 E Empire St, Bloomington, IL 61701 Phone: 309-662-4074 Fax: 309-662-4074 |