Dr. Lars A Gentry, OD
Optometrist in Carmi, IL. Individual provider (NPI-1).
NPI number1629068259
StatusActive
Last updated in NPPESJul 13, 2026
Details
- NPI
- 1629068259
- Entity type
- Individual (NPI-1)
- Name
- Dr. Lars A Gentry
- Credential
- OD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 25, 2005
- Last updated
- Jul 13, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | 046008215 | IL | Yes |
Practice location
1207 W Main StCarmi, IL 62821-1388
Phone 618-384-3411 · Fax 618-382-7226
Mailing address
1207 W Main StCarmi, IL 62821-1388
Phone 618-384-3411 · Fax 618-382-7226
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