National Provider Identifier Database

GARY T BRUSH, OD – NPI #1659432185
Optometrist

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.


Contact Information

GARY T BRUSH, OD
1801 E 5TH STREET
METROPOLIS, IL62960
Phone: 618-524-9323
Fax: 618-524-9324
Website:
Specialty Taxonomy Code
* Optometrist 152W00000X

* Indicates primary specialty

NPI Profile & details for GARY T BRUSH

NPI Number 1659432185
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 12/12/2006
Last updated 12/02/2008 - About 18 years ago
Sole proprietor1 Yes
Identifiers
  • IL License #: 046008374
  • IL Medicaid: 046008374
  • IL Other: 0413890001 DMERC
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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