Individual
DR. JAMES MATTHEW GENTRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
12208 S WESTERN AVE STE B, OKLAHOMA CITY, OK 73170-6119
(405) 735-3333
Mailing address
12208 S WESTERN AVE STE B, OKLAHOMA CITY, OK 73170-6119
(405) 735-3333
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2420
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1502420
—
OK
05
—
200162110 A
—
OK
Enumeration date
02/07/2006
Last updated
05/20/2026
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