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Individual
DR. THOMAS WILLIAM GREENE
Active
Individual
DR. THOMAS WILLIAM GREENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
Primary
2610T
TX
152WX0102X
Occupational Vision Optometrist
2610T
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
093171903
—
TX
01
—
E29C
BLUE CROSS BLUE SHIELD
TX
Enumeration date
06/23/2006
Last updated
02/29/2012
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