Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Jay E Tallis, OD

Individual provider Optometrist · NPI 1083627830

Dr. Jay E Tallis, OD is an Optometrist in Bloomington, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2006
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

915 N Main St
Bloomington, IL 61701-3043
Phone: (309) 827-8434
Fax: (309) 828-6741
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 046-007271 (IL)

Record details

NPI number1083627830
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorYes
NPI enumeratedAugust 14, 2006
Last updated in NPPESNovember 28, 2014
Mailing address915 N Main St, Bloomington, IL 61701-3043

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