Organization
DRS. DISTIN & DOYLE, OPTOMETRISTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY G DISTIN (OFFICE MANAGER)
(309) 582-5673
Entity
Organization
Contact information
Practice address
2108 S. E 3D ST, ALEDO, IL 61231-9456
(309) 582-5673
(309) 582-5674
Mailing address
2108 S. E. THIRD ST, ALEDO, IL 61231-9456
(309) 582-5673
(309) 582-5674
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
05/07/2007
Last updated
10/22/2010
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