| Gary D Distin, OD | |
|
67 Public Sq, Monmouth, IL 61462-1755 | |
| (309) 734-3108 | |
| (309) 734-6988 |
| Full Name | Gary D Distin |
|---|---|
| Gender | Male |
| Speciality | Optometrist |
| Location | 67 Public Sq, Monmouth, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477548287 | NPI | - | NPPES |
| 046006527 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 046006527 (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Gary D Distin, OD 67 Public Sq, Monmouth, IL 61462-1755 Ph: (309) 734-3108 | Gary D Distin, OD 67 Public Sq, Monmouth, IL 61462-1755 Ph: (309) 734-3108 |
Daniel R Doyle, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 67 Public Sq, Monmouth, IL 61462 Phone: 309-734-3108 Fax: 309-734-3108 | |
Drs. Distin & Doyle, Optometrists Optometrist Medicare: Not Enrolled in Medicare Practice Location: 67 Public Sq, Monmouth, IL 61462 Phone: 309-734-3108 Fax: 309-734-6988 |