Healthcare Provider Details
I. General information
NPI: 1154319143
Provider Name (Legal Business Name): TALLEY MEDICAL-SURGICAL EYE CARE ASSOCIATES PC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/12/2005
Last Update Date: 11/20/2025
Certification Date: 11/20/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
6149 E COLUMBIA ST
EVANSVILLE IN
47715
US
IV. Provider business mailing address
6149 E COLUMBIA ST
EVANSVILLE IN
47715-9134
US
V. Phone/Fax
- Phone: 812-424-2020
- Fax: 812-424-3000
- Phone: 812-424-2020
- Fax: 812-424-3000
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 152W00000X |
| Taxonomy | Optometrist |
| License Number | |
| License Number State | IN |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207W00000X |
| Taxonomy | Ophthalmology Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
DREW
N.
SOMMERVILLE
Title or Position: OWNER/PRESIDENT
Credential: M.D.
Phone: 812-424-2020