Individual
DR. THOMAS F GREENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1445 CHRISTY DR STE A, JEFFERSON CITY, MO 65101-2853
(573) 659-5560
(573) 659-5561
Mailing address
1445 CHRISTY DR STE A, JEFFERSON CITY, MO 65101-2853
(573) 659-5560
(573) 659-5561
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
T02652
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
312199649
—
MO
Enumeration date
07/07/2006
Last updated
08/23/2022
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