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Contact Information

NATHAN R GREEN, OD
1818 S 300 W
SALT LAKE CITY, UT84115-1805
 Phone: 801-485-9757
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for NATHAN R GREEN · (Male)

NPI Number 1821076555
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 01/03/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Not specified
Identifiers
  • UT License # 5340358-9934
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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