Jay E Tallis (NPI# 1083627830, PAC ID# 3870597305) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
Nation Provider ID (NPI) | 1083627830 |
PAC ID by PECOS | 3870597305 |
Professional Enrollment ID | I20060914000137 |
Full Name | Jay E Tallis |
Address |
915 N Main St Bloomington IL 61701-3043 |
Phone Number | 3098278434 |
Gender | M |
Credential | OD |
Medical School | ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO |
Graduation Year | 1979 |
Primary Specialty | OPTOMETRY |
Accepts Medicare Assignment | M |
Address | Phone | Organization |
---|---|---|
915 N Main St, Bloomington, IL 61701-3043 | 3098278434 |
Street Address |
915 N MAIN ST |
City | BLOOMINGTON |
State | IL |
Zip | 61701-3043 |
Name | Specialty | Organization | Address |
---|---|---|---|
Rachel Margaret Foster | Optometry | 915 N Main St, Suite 1, Columbia, IL 62236-1157 | |
Kelly K Kerksick | Optometry | Midwest Vision Care of Illinois LLC | 915 N Main St, Columbia, IL 62236-1157 |
Name | Specialty | Organization | Address |
---|---|---|---|
Anthony J Buecker | Emergency Medicine | St. Joseph Medical Center | 2200 W Washington St, Bloomington, IL 61701 |
Ryan E Newberger | Emergency Medicine | St. Joseph Medical Center | 2200 W Washington St, Bloomington, IL 61701 |
Kayla S Olesky | Emergency Medicine | St. Joseph Medical Center | 2200 W Washington St, Bloomington, IL 61701 |
Alex R Yuan | Emergency Medicine | St. Joseph Medical Center | 2200 W Washington St, Bloomington, IL 61701 |
Tracy Pacini | Nurse Practitioner | Chestnut Health Systems, Inc. | 1003 Martin Luther King Dr, Bloomington, IL 61701-1429 |
Dean Ryan Mccullough | Clinical Social Worker | Chestnut Health Systems, Inc. | 1003 Martin Luther King Dr, Bloomington, IL 61701-1429 |
James W Tarasuik Jr. | Nurse Practitioner | Chestnut Health Systems, Inc. | 1003 Martin Luther King Dr, Bloomington, IL 61701-1429 |
Jenia Rochelle Heavens | Nurse Practitioner | Chestnut Health Systems, Inc. | 1003 Martin Luther King Dr, Bloomington, IL 61701-1429 |
Paula C Miller | Nurse Practitioner | Chestnut Health Systems, Inc. | 1003 Martin Luther King Dr, Bloomington, IL 61701-1429 |
Nancy G Duffy | Clinical Social Worker | Chestnut Health Systems, Inc. | 1003 Martin Luther King Dr, Bloomington, IL 61701-1429 |
Find all physicians in zip 61701 |
City | BLOOMINGTON |
Zip Code | 61701 |
Specialty | OPTOMETRY |
City + Specialty | BLOOMINGTON + OPTOMETRY |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.