| Dr Gary B White, OD | |
|
211 S Bloomington St, Streator, IL 61364-2902 | |
| (815) 672-8915 | |
| (815) 672-8915 |
| Full Name | Dr Gary B White |
|---|---|
| Gender | Male |
| Speciality | Optometrist |
| Location | 211 S Bloomington St, Streator, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457323651 | NPI | - | NPPES |
| 046006585 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 046006585 (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Gary B White, OD 211 S Bloomington St, Streator, IL 61364-2902 Ph: (815) 672-8915 | Dr Gary B White, OD 211 S Bloomington St, Streator, IL 61364-2902 Ph: (815) 672-8915 |
Eye-mart Inc. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 104 E Main St, Streator, IL 61364 Phone: 815-672-1161 Fax: 815-672-7581 | |
Dr. Steven J Trzepacz, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 223 E Main St, Streator, IL 61364 Phone: 815-673-1591 Fax: 815-672-5203 |