| Fisher-gentry Eye Care Pc | |
| 
					501 S Locust St, Manteno, IL 60950-1656  | |
| (815) 468-2015 | |
| (815) 468-2013 | 
| Full Name | Fisher-gentry Eye Care Pc | 
|---|---|
| Type | Facility | 
| Speciality | Optometrist | 
| Location | 501 S Locust St, Manteno, Illinois | 
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1750726022 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 152W00000X | Optometrist | 046010407 (Illinois) | Primary | 
| Provider Name | Marc L Fisher | 
|---|---|
| Provider Type | Practitioner - Ophthalmology | 
| Provider Identifiers | NPI Number: 1780692905 PECOS PAC ID: 4385547934 Enrollment ID: I20100326000539  | 
| Provider Name | Emily M Gentry | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1104132414 PECOS PAC ID: 2860680162 Enrollment ID: I20110103000088  | 
| Provider Name | Gregory M Macagba | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1487130274 PECOS PAC ID: 2264782093 Enrollment ID: I20180829000750  | 
| Provider Name | Claire Sanders | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1124577036 PECOS PAC ID: 0446526487 Enrollment ID: I20210730002204  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Fisher-gentry Eye Care Pc 501 S Locust St, Manteno, IL 60950-1656 Ph: (815) 468-2015  | Fisher-gentry Eye Care Pc 501 S Locust St, Manteno, IL 60950-1656 Ph: (815) 468-2015  | 
Emily Mary Gentry, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 501 S Locust St, Manteno, IL 60950 Phone: 815-468-2015 Fax: 815-468-2013  | |
Claire Sanders, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 501 S Locust St Ste 2, Manteno, IL 60950 Phone: 815-468-2015 Fax: 815-468-2013  | |
Myeyedr Optometry Of Illinois, Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 170 S Locust St, Manteno, IL 60950 Phone: 815-468-2525 Fax: 815-468-8711  | |
Dr. Gregory Macagba, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 501 S Locust St, Manteno, IL 60950 Phone: 815-468-2015 Fax: 815-468-2013  | |
Metropolitan Eyecare Center Of Manteno Inc Optometrist Medicare: Medicare Enrolled Practice Location: 170 S Locust St, Manteno, IL 60950 Phone: 815-468-2525 Fax: 815-468-8711  |