Organization
PREMIER VISION CENTER PLLC
Active
Other names
Green Family Vision Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. REBECCA GREEN OD (OPTOMETRIST)
(502) 649-0283
Entity
Organization
Contact information
Practice address
5020 NORTON HEALTHCARE BLVD, LOUISVILLE, KY 40241
(502) 420-0173
Mailing address
5020 NORTON HEALTHCARE BLVD, LOUISVILLE, KY 40241
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1922 DT
KY
Other
Enumeration date
03/10/2016
Last updated
03/10/2016
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