Individual
DR. DIANA ROSE GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
11 NEVINS ST STE 205, BRIGHTON, MA 02135-3514
(617) 783-5050
(617) 783-0734
Mailing address
800 WASHINGTON ST, BOSTON, MA 02111-1552
(617) 636-5000
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4858
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110090817/A
—
MA
Enumeration date
07/21/2011
Last updated
04/10/2026
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