Organization
GREGORY CHAD GREEN, OD, PC
Active
Other names
VisualEyes
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY CHAD GREEN OD (PRESIDENT)
(334) 289-0466
Entity
Organization
Contact information
Practice address
1490 NORTHBANK PARKWAY, SUITE 120, TUSCALOOSA, AL 35406
(205) 861-2020
Mailing address
1401 US HIGHWAY 80 W, DEMOPOLIS, AL 36732-4127
(334) 289-0466
(334) 289-5588
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
S-773-TA-219
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
S-773-TA-219
STATE LICENSE NUMBER
AL
Enumeration date
06/07/2016
Last updated
07/14/2022
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