NPI 1063401107

Gordon C Green, OD

Practitioner Optometrist Evansville, IN

Practice location

Address: 421 Chestnut St, Evansville, IN 47713-1227
Phone: (812) 490-3937
Fax: (812) 426-9880

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence 18003063B (IN)

Other Optometrist providers in Indiana →

Registry record

NPI: 1063401107
Entity type: Individual
Sex (as registered): Male
NPI issued: 20 Oct 2005
Record last updated: 28 Jan 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.