Individual
DR. NAOMI D'ENTREMONT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
1001 CHARLESTON AVE E, MATTOON, IL 61938-6226
(217) 236-2020
(217) 235-2022
Mailing address
1001 CHARLESTON AVE E, MATTOON, IL 61938-6226
(217) 236-2020
(217) 235-2022
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046.010278
IL
Other
Enumeration date
10/13/2009
Last updated
10/13/2009
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