Gary T. Koteles, OD Valid NPI

Individual provider · Optometrist · Rockford, IL

NPI

1932269552

Type

Individual (Type 1)

Primary specialty

Optometrist

Specialty group

Eye and Vision Services Providers

Taxonomy code

152W00000X

License number

046007329 (IL)

Sex

Male

Sole proprietor

No

Enumerated

2006-12-12

Last updated

2010-01-26