J.E. Tallis Dba American Vision Center

LBN: J.E. Tallis Dba American Vision Center
J.E. Tallis Dba American Vision Center is an health care organization with primary practice located at 915 N Main St , Bloomington IL 61701-3043. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. J.E. Tallis Dba American Vision Center can be contacted via phone (309) 827-8434, or through Tallis, Chrisann via phone (309) 827-8434.

Contact Information

Primary practice address
915 N Main St Bloomington IL 61701-3043
Phone: (309) 827-8434
Fax: (309) 828-6741
Website:
Map and Directions
Authorized official contact:
Name: Tallis, Chrisann
Phone: (309) 827-8434

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 046007271 Illinois

Profile Details

NPI number 1164698148
LBN Legal business name J.E. Tallis Dba American Vision Center
DBA Doing business as
Authorized official Tallis, Chrisann
Entity Organization
Organization subpart 1 No
Enumeration date Apr 30th, 2008
Last updated Jul 14th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164698148 NPPES
Illinois MEDICAID 046007271
Illinois Other 934801

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