Individual
DR. JAMES MATTHEW GENTRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
2601 SW 119TH ST STE B, OKLAHOMA CITY, OK 73170
(405) 735-3333
Mailing address
2601 SW 119TH ST, STEB, OKLAHOMA CITY, OK 73170-2625
(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
07/16/2018
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