Organization · NPI-2

Greene Eye Care LLC

Optometrist · Cromwell, CT

NPI number1174068357
StatusActive
Last updated in NPPESFeb 16, 2017

Details

NPI
1174068357
Entity type
Organization (NPI-2)
Legal business name
Greene Eye Care LLC
Organization subpart
No
Enumeration date
Dec 27, 2016
Last updated
Feb 16, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
152W00000X Optometrist–CTYes

Practice location

160 West St
Cromwell, CT 06416-2440

Phone 860-635-6149 · Fax 860-632-1401

Mailing address

160 West St
Cromwell, CT 06416-2440

Phone 860-635-6149 · Fax 860-632-1401

Authorized official

Todd Greene
Authorized Rep/Owner
8606356149

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