Gordon C Green is a Optometrist in Evansville, Indiana. Gordon C Green practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Gordon C Green is 1063401107. The last update date is 2016-01-28.
Gordon C Green's current location address is 421 Chestnut St, Evansville, Indiana. You can contact this provider via phone number 8124903937 and fax number 8124269880. The mailing address for Gordon C Green is 421 Chestnut St, Evansville, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gordon C Green |
|---|---|
| Address | 421 Chestnut St, Evansville, Indiana |
| Phone Number | 8124903937 |
| Fax Number | 8124269880 |
| Sole Proprietor | N |
| Credentials | O.D. |
NPI Number Detail
| NPI Number | 1063401107 |
|---|---|
| Provider Enumeration Date | 2005-10-20 |
| Last Updated Date | 2016-01-28 |
Provider Mailing Address Detail
| Address | 421 Chestnut St |
|---|---|
| City | Evansville |
| State | Indiana (IN) |
| Post Code | 477131227 |
| Phone Number | 8124903937 |
| Fax Number | 8124269880 |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | 18003063B |
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Definition: Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 11478959 | IN | CAQH PROVIDER ID |
Post Comment/ Review Below
What is the Gordon C Green's unique identification number?
The Gordon C Green has been assigned the NPI (National Provider Identifier) Number 1063401107 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the Gordon C Green's physical address?
The Gordon C Green is physically located at 421 Chestnut St, in the city of Evansville, IN, with the postal code 477131227.
What is Gordon C Green's area of expertise and its corresponding taxonomy classification?
The Gordon C Green's field of specialization is Optometrist, and it falls under the taxonomy code 152W00000X, which categorizes healthcare providers based on their areas of practice.
When was the Gordon C Green's 1063401107 issued?
The Gordon C Green's 1063401107 was issued on 2005-10-20.
When was the information pertaining to Gordon C Green most recently updated or revised?
The details related to Gordon C Green, including its address, specialty, and other relevant information, were last updated or revised on 2016-01-28.