<Unavail>

LBN: Gregory Chad Green, Od, Pc
<Unavail> is an health care organization with primary practice located at 1490 Northbank Parkway Suite 120, Tuscaloosa AL 35406. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Gregory Chad Green, Od, Pc can be contacted via phone (205) 861-2020, or through Green, Gregory Chad via phone (334) 289-0466.

Contact Information

Primary practice address
1490 Northbank Parkway Suite 120 Tuscaloosa AL 35406
Phone: (205) 861-2020
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Green, Gregory Chad Doctor of Optometry (OD)
Phone: (334) 289-0466

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X S-773-TA-219 Alabama

Profile Details

NPI number 1891144259
LBN Legal business name Gregory Chad Green, Od, Pc
DBA Doing business as <Unavail>
Authorized official Green, Gregory Chad Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 7th, 2016
Last updated Jul 14th, 2022 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1891144259 NPPES
Alabama Other S-773-TA-219 STATE LICENSE NUMBER

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