Individual
DR. GARY HOWARD GREENE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
AZ0810
AZ
152WC0802X
Corneal and Contact Management Optometrist
AZ0810
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
088458
AHCCCS
AZ
01
—
137085
AHCCS
AZ
05
—
137085
—
AZ
01
—
AZ0179560
BLUE CROSS BLUE SHIELD
AZ
01
—
AZ0810
EYE MED
AZ
01
—
P00276390
RAILROAD MEDICARE
AZ
Enumeration date
08/18/2005
Last updated
01/28/2026
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