Organization
PALISADES OPTOMETRICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TARA ALLEN (ACCESS MANAGER)
(309) 322-6892
Entity
Organization
Contact information
Practice address
348 BROAD AVE, LEONIA, NJ 07605-1703
(201) 429-9762
Mailing address
112 E WASHINGTON ST STE 1100, BLOOMINGTON, IL 61701-1001
(092) 228-2753
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
02/14/2019
Last updated
06/02/2021
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