Individual
DR. BRUCE M GREENE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
10 E STATE ST, REDLANDS, CA 92373-4754
(909) 792-2280
Mailing address
2651 S GOLDCREST AVE, ONTARIO, CA 91761-6823
(909) 947-0255
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5528T
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SD0055281
—
CA
Enumeration date
03/21/2007
Last updated
07/08/2007
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