Individual
GARY E CONTNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1008 N MAIN ST, BELLEFONTAINE, OH 43311-2371
(937) 599-5315
(937) 599-1185
Mailing address
1008 N MAIN ST, BELLEFONTAINE, OH 43311-2371
(937) 599-5315
(937) 599-1185
Taxonomy
Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
Primary
3526
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0566105
—
OH
05
—
300285181028
—
OH
01
—
C9354411
MEDICARE PTAN
OH
Enumeration date
09/27/2006
Last updated
06/20/2008
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