Tahvilian, Marni Harris

Tahvilian, Marni Harris is an individual health care provider with primary practice located at 2015 N Main St , Wheaton IL 60187-3190. She recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Pediatrics. Eye and Vision Services Providers / Pediatrics is her primary health care specialty. Tahvilian, Marni Harris can be contacted via phone (630) 634-2771.

Contact Information

Primary practice address
2015 N Main St Wheaton IL 60187-3190
Phone: (630) 634-2771
Fax: (630) 221-0019
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 046-011195 Illinois
Eye and Vision Services Providers / Pediatrics 152WP0200X 046-011195 Illinois

Profile Details

NPI number 1558880633
LBN Legal business name Tahvilian, Marni Harris
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 11th, 2017
Last updated Aug 29th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558880633 NPPES
Illinois MEDICAID 046-011195

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