Lars A Gentry (NPI# 1629068259, PAC ID# 4486784386) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
Nation Provider ID (NPI) | 1629068259 |
PAC ID by PECOS | 4486784386 |
Professional Enrollment ID | I20100618000422 |
Full Name | Lars A Gentry |
Address |
420 Broadway Ave E Mattoon IL 61938-4604 |
Gender | M |
Medical School | ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO |
Graduation Year | 1989 |
Primary Specialty | OPTOMETRY |
Accepts Medicare Assignment | M |
Address | Phone | Organization |
---|---|---|
420 Broadway Ave E, Mattoon, IL 61938-4604 |
Street Address |
420 BROADWAY AVE E |
City | MATTOON |
State | IL |
Zip | 61938-4604 |
Name | Specialty | Organization | Address |
---|---|---|---|
Tina M Funk | Optometry | 420 Broadway Ave E, Mattoon, IL 61938-4604 |
Name | Specialty | Organization | Address |
---|---|---|---|
Kelly L Helms | Chiropractic | 1804 Broadway Ave, Mattoon, IL 61938-3806 | |
Terry A Ward | Chiropractic | 1616 Lafayette Ave, Mattoon, IL 61938-3926 | |
Hunter D Hout | Chiropractic | 905 Remington Rd, Mattoon, IL 61938-4210 | |
Garrett B Buell | Chiropractic | 905 Remington Rd, Mattoon, IL 61938-4210 | |
Jamie Devon Stephens | Chiropractic | 801 Broadway Ave, Mattoon, IL 61938-4211 | |
William S Selvidge | Chiropractic | 608 Broadway Ave, Mattoon, IL 61938-4321 | |
Rachel Stuckey | Clinical Social Worker | Coles County Mental Health Association Inc | 750 Broadway Ave E, Mattoon, IL 61938-4610 |
Zehra I Rowjee | Psychiatry | Southern Illinois Healthcare Foundation, Inc. | 750 Broadway Ave E, Mattoon, IL 61938-4610 |
Howard D Levine | Psychologist, Clinical | Coles County Mental Health Association Inc | 750 Broadway Ave E, Mattoon, IL 61938-4610 |
August G Supan | Clinical Social Worker | Coles County Mental Health Association Inc | 750 Broadway Ave E, Mattoon, IL 61938-4610 |
Find all physicians in zip 61938 |
City | MATTOON |
Zip Code | 61938 |
Specialty | OPTOMETRY |
City + Specialty | MATTOON + OPTOMETRY |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.