MEDICARE: GENTRY EYE CARE PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist

General Provider Information

NPI Number	:	1881184513
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GENTRY EYE CARE PLLC

Provider Business Mailing Address
First Line	:	12208 S WESTERN AVE STE B
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73170-6119
Country	:	US
Telephone Number	:	785-317-7724
Fax Number	:

Provider Business Practice Location Address
First Line	:	12208 S WESTERN AVE STE B
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73170-6119
Country	:	US
Telephone Number	:	405-735-3333
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	JAMES GENTRY
Credential	:
Telephone Number	:	785-317-7724

Provider Enumeration Date	:	05/17/2018
Last Update Date	:	05/20/2026

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Directions to “GENTRY EYE CARE PLLC ” Practice Location

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