Organization
HENRY A GREENE OD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HENRY GREENE OD (PRESIDENT)
(919) 493-7456
Entity
Organization
Contact information
Practice address
3115 ACADEMY RD, DURHAM, NC 27707-2652
(919) 493-7456
(919) 493-1718
Mailing address
3115 ACADEMY RD, DURHAM, NC 27707-2652
(919) 493-7456
(919) 493-1718
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1011
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8909336
—
NC
Enumeration date
10/23/2007
Last updated
05/21/2010
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