Gordon C Green O.D.

NPI 1063401107 - Optometrist - 152W00000X

NPI Details
NPI 1063401107
Gender Male
Enumeration Date 10/20/2005
Last Updated 01/28/2016
Entity Type Individual
Active Over 11 years ago
Practice Location
421 CHESTNUT ST
EVANSVILLE IN, 47713-1227, US
Phone (812) 490-3937
Fax (812) 426-9880
Business Location
421 CHESTNUT ST
EVANSVILLE IN, 47713-1227, US
Phone (812) 490-3937
Fax (812) 474-3587
Toxanomy
Taxonomy Code 152W00000X
License State Indiana
License Number 18003063B
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According to our database, Dr. Gordon C Green O.D. NPI is 1063401107, taxonomy code is 152W00000X and license number is 18003063B, license state is located at Indiana. Gordon C Green O.D. physically located at 421 Chestnut St, Evansville IN, 47713-1227. NPI Number Gordon C Green O.D. has the Individual type.

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1063401107 NPI number is provided on an as is basis without warranty of any kind. 1063401107 is maintained by the National Plan & Provider Enumeration System. The contents of Gordon C Green O.D. are for informational purposes only.