Richard S. Green

NPI #1194994350 in Kent, Washington

Provider Information

NPI Number: 1194994350
Entity Type: Organization
Organization Name: Richard S. Green
Primary Specialty: Optometrist
Enumeration Date: Feb 21, 2008
Last Updated: Feb 22, 2008

Practice Location

Address: 13210 SE 240TH ST STE C2
City: Kent
State: Washington
ZIP Code: 98042-5182
Phone: (253) 631-1530

Authorized Official

Name: DR. RICHARD S GREEN, O.D.
Title: OWNER
Phone: (253) 631-1530

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Eyewear Supplier	332H00000X
Optometrist	152W00000X	Primary

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