Organization Name:  TALLEY CATARACT AND LASER INSTITUTE


Practice Location:
201 W IOWA ST  EVANSVILLE, IN 47710 US
Tel: 812-424-2020  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

Primary	Code	Category/Description	State	License Number
Y	261QA1903X	Ambulatory Health Care Facilities Clinic/Center Ambulatory Surgical	IN

Other Provider Identifiers:

Issuer	Number	State	Type
	36000743	KY	05
ANTHEM	000000054357	IN	01
BC/BS KENTUCKY	292	IN	01

Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin