Greene, Matthew T

Greene, Matthew T is an individual health care provider with primary practice located at 3711 Meadow View Dr , College Station TX 77845-7327. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Greene, Matthew T can be contacted via phone (979) 690-0888.

Contact Information

Primary practice address
3711 Meadow View Dr College Station TX 77845-7327
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 5726TG Texas

Profile Details

NPI number 1871608943
LBN Legal business name Greene, Matthew T
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 20th, 2006
Last updated Aug 27th, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1871608943 NPPES
Texas MEDICAID 144370701

Popular Providers