Organization
CAMBRIDGE FAMILY EYE CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. W THOMAS GREEN OD (PRESIDENT)
(740) 439-1098
Entity
Organization
Contact information
Practice address
1335 SOUTHGATE PKWY, CAMBRIDGE, OH 43725-3015
(740) 439-1098
(740) 439-3165
Mailing address
1335 SOUTHGATE PKWY, CAMBRIDGE, OH 43725-3015
(740) 439-1098
(740) 439-3165
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3120/T800
OH
152W00000X
Optometrist
4641/T1416
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6566685
—
OH
Enumeration date
12/18/2007
Last updated
01/10/2013
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