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Organization
THOMAS W GREENE, O.D.,P.C.
Active
Organization
THOMAS W GREENE, O.D.,P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS W GREENE O.D. (OWNER/PRESIDENT)
(940) 872-5417
Entity
Organization
Contact information
Practice address
501 E LONDON ST, BOWIE, TX 76230-3020
(940) 872-5417
(940) 872-6754
Mailing address
PO BOX 31, BOWIE, TX 76230-0031
(940) 872-5417
(940) 872-6754
Taxonomy
Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
Primary
2610T
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
219146201
—
TX
Enumeration date
02/06/2008
Last updated
02/29/2012
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