Organization
FISHER-GENTRY EYE CARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EMILY MARY GENTRY O.D. (OPTOMETRIST/OWNER)
(815) 545-0335
Entity
Organization
Contact information
Practice address
501 S LOCUST ST, MANTENO, IL 60950-1656
(815) 468-2015
(815) 468-2013
Mailing address
501 S LOCUST ST, MANTENO, IL 60950-1656
(815) 468-2015
(815) 468-2013
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046010407
IL
Other
Enumeration date
05/01/2013
Last updated
06/24/2013
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