Individual
JAMIE TAFFORA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
303 W 89TH AVE, MERRILLVILLE, IN 46410-6294
(219) 769-8989
(219) 756-0560
Mailing address
1206 ORISKANY DR, SCHERERVILLE, IN 46375-3099
(219) 365-3735
(219) 756-0560
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046-009004
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
046-009004
LICENSED OPTOMETRIST NUMB
IL
Enumeration date
08/04/2006
Last updated
03/04/2021
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