NPI 1689665101

Gregory Chad Green, OD

Practitioner Optometrist Demopolis, AL

Practice location

Address: 1401 US Highway 80 W, Demopolis, AL 36732-4127
Phone: (334) 289-0466
Fax: (334) 289-5588

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence S773TA219 (AL)

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Registry record

NPI: 1689665101
Entity type: Individual
Sex (as registered): Male
NPI issued: 3 Nov 2005
Record last updated: 7 Mar 2023

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.