Individual
DR. BRETT RAY GREENWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
7309 STOCKTON BLVD, SUITE A, SACRAMENTO, CA 95823-2782
(916) 391-0520
Mailing address
7309 STOCKTON BLVD, SUITE A, SACRAMENTO, CA 95823-2782
(916) 391-0520
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
9408T
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GSD000020
—
CA
05
—
SD0094080
—
CA
Enumeration date
10/25/2006
Last updated
12/04/2009
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