DR. TANYA QUALLS, OD
Optometrist
Active
Individual
NPI: 1902420011
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Optometrist | 152W00000X | Yes | 046011429 (IL) |
Frequently Asked Questions
NPI 1902420011 is the National Provider Identifier for DR. TANYA QUALLS, OD, a Optometrist provider located in Champaign, IL. This NPI was enumerated on June 4, 2020.
DR. TANYA QUALLS, OD practices at 525 W TOWN CENTER BLVD, Champaign, IL 61822.
Quick Facts
- NPI
- 1902420011
- Type
- Individual
- Enumerated
- Jun 4, 2020
- Last Updated
- Apr 9, 2024
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