Individual
AMANDA GERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
519 S STATE ST, JERSEYVILLE, IL 62052-2241
(618) 494-4030
(618) 473-8230
Mailing address
519 S STATE ST, JERSEYVILLE, IL 62052-2241
(618) 494-4030
(618) 473-8230
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046011301
IL
Other
Enumeration date
05/29/2019
Last updated
08/20/2024
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