Individual provider · NPI-1

Dr. Todd E. Greene, OD

Optometrist · Cromwell, CT

NPI number1275535544
StatusActive
Last updated in NPPESJun 12, 2018

Details

NPI
1275535544
Entity type
Individual (NPI-1)
Name
Dr. Todd E. Greene
Credential
OD
Sex
Male
Sole proprietor
Yes
Enumeration date
Jun 1, 2005
Last updated
Jun 12, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
152W00000X Optometrist002483CTYes

Practice location

160 West St Ste J
Cromwell, CT 06416

Phone 860-635-6149 · Fax 860-632-1401

Mailing address

1268 Sumner Ave
Springfield, MA 01118-1770

Phone 413-782-5339 · Fax 413-782-3050

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