Individual
GREG A BUTTERWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O. D.
Contact information
Practice address
920 REVOLUTION ST, HAVRE DE GRACE, MD 21078-3748
(410) 939-2200
(410) 939-5980
Mailing address
1950 OLD GALLOWS RD 520, VIENNA, VA 22182-3970
(703) 847-8899
(703) 991-0514
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TA1619
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00376361
MEDICARE RAILROAD
—
Enumeration date
03/02/2006
Last updated
11/02/2021
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