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 | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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: Medicare Enrolled 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 |