Individual
DR. TODD E. GREENE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
160 WEST ST STE J, CROMWELL, CT 06416
(860) 635-6149
(860) 632-1401
Mailing address
1268 SUMNER AVE, SPRINGFIELD, MA 01118-1770
(413) 782-5339
(413) 782-3050
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
002483
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1174068357
—
CT
Enumeration date
06/01/2005
Last updated
06/12/2018
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