Individual
DR. MARNI HARRIS TAHVILIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
046-011195
IL
152WP0200X
Pediatric Optometrist
Primary
046-011195
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
046-011195
—
IL
Enumeration date
09/11/2017
Last updated
08/29/2024
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