Richard S Green, OD

NPI #1184619132 in Kent, Washington

Provider Information

NPI Number: 1184619132
Entity Type: Individual
Name: Richard S Green, OD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Optometrist
Credential: OD
Enumeration Date: Sep 15, 2005
Last Updated: Feb 23, 2010

Practice Location

Address: 13210 SE 240TH ST
Address 2: SUITE C-2
City: Kent
State: Washington
ZIP Code: 98042-5182
Phone: (253) 631-1530

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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