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GARY D DISTIN OD
NPI 1477548287
Optometrist in Monmouth, IL

Active since September 19, 2005
67 PUBLIC SQ, MONMOUTH, IL 61462(309) 734-3108(309) 734-6988 Get Directions Write a Review

NPPES record last updated: May 25, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Gary D Distin Od NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GARY D DISTIN OD (NPI 1477548287) is an individual optometrist in Monmouth, Illinois, licensed in Illinois (046006527) and active in the NPI registry since September 2005.

NPPES Registry Identity

NPI1477548287
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameGARY D DISTINCredential: OD
Location Address67 PUBLIC SQMonmouth, IL 61462-1755
Mailing Address67 Public SqMonmouth, IL 61462-1755 · (309) 734-3108 · Fax (309) 734-6988
Phone(309) 734-3108
Fax(309) 734-6988
Sole ProprietorNo
Enumeration DateSeptember 19, 2005
Last NPPES UpdateMay 25, 2010
✔ NPI 1477548287 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in IL · 046006527
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
67 PUBLIC SQ, Monmouth, IL 61462
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Other Identifiers 3

Medicaid046006527IL
Medicare UPINT35350
Medicare ID-Type Unspecified212070

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DANIEL R DOYLE OD
Optometrist
67 PUBLIC SQ
MONMOUTH, IL 61462
Warren County (309) 734-3108
DRS. DISTIN & DOYLE, OPTOMETRISTS
Optometrist
67 PUBLIC SQ
MONMOUTH, IL 61462
Warren County (309) 734-3108

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gary Distin's NPI number?

The NPI number for Gary Distin is 1477548287. It was assigned to this individual provider in the NPPES registry on September 19, 2005.

Where is Gary Distin located?

Gary Distin practices at 67 Public Sq, Monmouth, IL 61462. The listed phone number is (309) 734-3108.

What is Gary Distin's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

When was this NPI record last updated?

The NPPES record for Gary Distin was last updated on May 25, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.