Individual
BARRY SETH GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
7147 BURNETT ST, SEBASTOPOL, CA 95472-4349
(707) 829-5440
(888) 416-4393
Mailing address
7147 BURNETT ST, SEBASTOPOL, CA 95472-4349
(707) 829-5440
(888) 416-4393
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
9001T
CA
Other
Enumeration date
04/03/2007
Last updated
01/21/2010
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