| 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 |