GARY DEAN DISTIN

DRS. DISTIN AND DOYLE, OPTOMETRISTS

Dr GARY DEAN DISTIN is a male medical professional, specializing in Optometry. He graduated in 1973 from Illinois College Of Optometry At Chicago.

Contact

DRS. DISTIN AND DOYLE, OPTOMETRISTS

2108 SE 3RD ST
ALEDO
IL
612319456

Tel: 3095825673

GARY DEAN DISTIN Information

Npi 1477548287
Pac Id 4981715448
Professional Enrollment Id I20101101000331
Last Name DISTIN
First Name GARY
Middle Name DEAN
Suffix
Gender M
Credential
Medical School Name ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Graduation Year 1973
Primary Specialty OPTOMETRY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name DRS. DISTIN AND DOYLE, OPTOMETRISTS
Group Practice Pac Id 9234256249
Number Of Group Practice Members 2
Line 1 Street Address 2108 SE 3RD ST
Line 2 Street Address
Marker Of Address Line 2 Suppression
City ALEDO
State IL
Zip Code 612319456
Phone Number 3095825673
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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