Gentry, James Matthew

Gentry, James Matthew is an individual health care provider with primary practice located at 2601 Sw 119Th St Ste B , Oklahoma City OK 73170. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Gentry, James Matthew can be contacted via phone (405) 735-3333.

Contact Information

Primary practice address
2601 Sw 119Th St Ste B Oklahoma City OK 73170
Phone: (405) 735-3333
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 2420 Oklahoma

Profile Details

NPI number 1093787574
LBN Legal business name Gentry, James Matthew
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 7th, 2006
Last updated Jul 16th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093787574 NPPES
Oklahoma MEDICAID 1502420
Oklahoma MEDICAID 200162110 A

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