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Organization

TALLEY CATARACT AND LASER INSTITUTE

Active
Other names
Valley Surgery Center
Organization subpart
No

Provider details

NPI number
Authorized official
DR. TERRY W TALLEY M.D. (MEDICAL DIRECTOR)
(812) 435-1600
Entity
Organization

Contact information

Practice address
201 W IOWA ST, EVANSVILLE, IN 47710-1721
(812) 424-2020
(812) 424-3000
Mailing address
220 E VIRGINIA ST, EVANSVILLE, IN 47711-5530
(812) 435-1600
(812) 435-1603

Taxonomy

Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000054357
ANTHEM
IN
01
292
BC/BS KENTUCKY
IN
05
36000743
KY
Enumeration date
10/12/2005
Last updated
08/22/2020
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