Individual
MR. DARRYL MARSDEN GREENWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1901 RIDGEWOOD AVE, WYOMISSING, PA 19610-1231
(610) 373-2300
(610) 373-7014
Mailing address
1901 RIDGEWOOD AVE, WYOMISSING, PA 19610-1231
(610) 373-2300
(610) 373-7014
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OE006579T
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
396393
NVA/CBC PROVIDER CODE
PA
01
—
GR552240
PBS PROVIDER CODE
PA
Enumeration date
10/30/2006
Last updated
07/08/2007
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