Active NPI
Fisher-Gentry Eye Care PC
- Optometrist
- Manteno, IL
National Provider Identifier
1750726022
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 046010407
- Legal business name
- FISHER-GENTRY EYE CARE PC
- Practice address
- 501 S Locust St
Manteno, IL 60950-1656 - Phone
- (815) 468-2015
- Fax
- (815) 468-2013
- NPI assigned
- May 1, 2013
- Last updated
- Jun 24, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Emily Mary Gentry, O.D.
- Title
- Optometrist/Owner
- Phone
- (815) 545-0335
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 046010407 | IL | Primary |
Addresses
Primary practice location
501 S Locust St
Manteno, IL 60950-1656
Mailing address
501 S Locust St
Manteno, IL 60950-1656
Phone (815) 468-2015
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 2
National Provider Directory
National Provider DirectoryLocations
501 S Locust St
Ste 2
Manteno, IL 60950
Phone (815) 468-2015
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Optometrist
- Manteno, IL
- NPI 1104132414
-
- Optometrist
- Manteno, IL
- NPI 1487130274
-
- Ophthalmology Physician
- Bourbonnais, IL
- NPI 1780692905
-
- Optometrist
- Manteno, IL
- NPI 1124577036
-
- Optometrist
- Bedford Park, IL
- NPI 1669207759
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1367366400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1372032000000",
"number": "1750726022",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "501 S LOCUST ST",
"city": "MANTENO",
"state": "IL",
"postal_code": "609501656",
"telephone_number": "815-468-2015",
"fax_number": "815-468-2013"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 S LOCUST ST",
"city": "MANTENO",
"state": "IL",
"postal_code": "609501656",
"telephone_number": "815-468-2015",
"fax_number": "815-468-2013"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FISHER-GENTRY EYE CARE PC",
"organizational_subpart": "NO",
"enumeration_date": "2013-05-01",
"last_updated": "2013-06-24",
"status": "A",
"authorized_official_last_name": "GENTRY",
"authorized_official_first_name": "EMILY",
"authorized_official_middle_name": "MARY",
"authorized_official_title_or_position": "OPTOMETRIST/OWNER",
"authorized_official_telephone_number": "815-545-0335",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "IL",
"license": "046010407",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Manteno, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.