John P Gysin Od

NPI #1922242379 in Peoria, Illinois

Provider Information

NPI Number: 1922242379
Entity Type: Organization
Organization Name: John P Gysin Od
Primary Specialty: Optometrist
Enumeration Date: Apr 29, 2009
Last Updated: Sep 21, 2012

Practice Location

Address: 5901 N PROSPECT RD STE 11
City: Peoria
State: Illinois
ZIP Code: 61614-4337
Phone: (309) 692-2525

Authorized Official

Name: DR. JOHN P GYSIN
Title: OWNER
Phone: (309) 692-2525

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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