John T Emmert Od PC

NPI #1245414994 in Ottawa, Illinois

Provider Information

NPI Number: 1245414994
Entity Type: Organization
Organization Name: John T Emmert Od PC
Primary Specialty: Optometrist
Enumeration Date: Dec 18, 2007
Last Updated: Apr 4, 2008

Practice Location

Address: 1029 LASALLE ST.
City: Ottawa
State: Illinois
ZIP Code: 61350-2018
Phone: (815) 433-4100

Authorized Official

Name: JOHN T EMMERT, O.D.
Title: PRESIDENT
Phone: (815) 433-4100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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