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Contact Information

GREGORY CHAD GREEN, OD, PC
1490 NORTHBANK PARKWAY
SUITE 120
TUSCALOOSA, AL35406
 Phone: 205-861-2020
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for GREGORY CHAD GREEN OD PC · (Female)

NPI # 1891144259
Status Active
Credentials
Entity Individual
Enumeration date 06/07/2016
Last updated 07/14/2022 - About 4 years ago
Sole proprietor 1 Not specified
Identifiers
  • AL License # S-773-TA-219
  • AL Other S-773-TA-219 STATE LICENSE NUMBER
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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