Individual
DR. RICHARD ALAN GREENE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
2225 A1A S, SUITE C2, ST AUGUSTINE, FL 32080-2916
(904) 471-8750
(904) 471-5996
Mailing address
2225 A1A S, SUITE C2, ST AUGUSTINE, FL 32080-2916
(904) 471-8750
(904) 471-5996
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1648
FL
Other
Enumeration date
09/01/2006
Last updated
07/08/2007
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