DR. Gary B. White, O.D.

NPI #1457323651 in Streator, Illinois

Provider Information

NPI Number: 1457323651
Entity Type: Individual
Name: DR. Gary B. White, O.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Feb 2, 2006
Last Updated: Aug 9, 2012

Practice Location

Address: 211 S BLOOMINGTON ST
City: Streator
State: Illinois
ZIP Code: 61364-2902
Phone: (815) 672-8915

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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Organizations

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