Organization
CARLOS E. GREEN, O.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARLOS E GREEN O.D. (OWNER)
(714) 776-8770
Entity
Organization
Contact information
Practice address
2117 E LINCOLN AVE, ANAHEIM, CA 92806-4105
(714) 776-8770
Mailing address
2117 E LINCOLN AVE, ANAHEIM, CA 92806-4105
(714) 776-8770
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT8238
CA
Other
Enumeration date
09/28/2010
Last updated
09/28/2010
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