Fisher-gentry Eye Care Pc

NPI 1750726022 - Optometrist - 152W00000X

NPI Details
NPI 1750726022
Enumeration Date 05/01/2013
Last Updated 06/24/2013
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name EMILY MARY EMILY
Position OPTOMETRIST/OWNER
Phone (815) 468-2015
Fax (815) 468-2013
Practice Location
501 S LOCUST ST
MANTENO IL, 60950-1656, US
Phone (815) 468-2015
Fax (815) 468-2013
Business Location
501 S LOCUST ST
MANTENO IL, 60950-1656, US
Phone (815) 468-2015
Fax (815) 468-2013
Toxanomy
Taxonomy Code 152W00000X
License State Illinois
License Number 046010407
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According to our database, Fisher-gentry Eye Care Pc NPI is 1750726022, taxonomy code is 152W00000X and license number is 046010407, license state is located at Illinois. Fisher-gentry Eye Care Pc physically located at 501 S Locust St, Manteno IL, 60950-1656. NPI Number 1033115704 has the healthcare provider type.

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1750726022 NPI number is provided on an as is basis without warranty of any kind. 1750726022 is maintained by the National Plan & Provider Enumeration System. The contents of Fisher-gentry Eye Care Pc are for informational purposes only.