Organization
RICHARD S. GREEN
Active
Other names
Kent Meridian Family Eyecare
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD S GREEN O.D. (OWNER)
(253) 631-1530
Entity
Organization
Contact information
Practice address
13210 SE 240TH ST STE C2, KENT, WA 98042-5182
(253) 631-1530
(253) 631-5262
Mailing address
13210 SE 240TH ST STE C2, KENT, WA 98042-5182
(253) 631-1530
(253) 631-5262
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
332H00000X
Eyewear Supplier
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2001857
—
WA
Enumeration date
02/21/2008
Last updated
02/22/2008
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