Green Optical

NPI #1104901578 in Gallatin, Tennessee

Provider Information

NPI Number
1104901578
Entity Type
Organization
Organization Name
Green Optical
Primary Specialty
Eyewear Supplier
Enumeration Date
Oct 26, 2006
Last Updated
Apr 6, 2010

Practice Location

Address
854 LONE OAK DR
ZIP Code
37066
Phone
(615) 452-1602

Authorized Official

Name
MR. MICHAEL EDWARD GREEN, MD
Title
CHIEF PARTNER
Phone
(615) 452-1602

Specialties & Taxonomy Codes

Specialty
Eyewear Supplier

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