Active NPIIndividual provider

Dr. Malcolm R Greene, OD

Optometrist in Watertown, Massachusetts

NPI Number1649264318
Practice location
31 Spring St, Watertown, MA 02472-3473
Fax
617-926-6634
Last updated
April 13, 2009

Malcolm Richard Greene is an Optometrist based in Watertown, MA. Malcolm Richard Greene practices in Watertown, MA and has the professional credentials of OD. The NPI Number for Malcolm Richard Greene is 1649264318 and holds a License No. 2219 (MA). The current practice location address for Malcolm Richard Greene is 31 Spring St, Watertown, MA 02472-3473 and can be reached out via phone at 617-924-3343 and via fax at 617-926-6634.

Provider Profile Details

NPI Number
1649264318
Provider Name
Malcolm Richard Greene
Credential
OD
Provider Entity Type
Individual
Gender
Male
Address
31 Spring St, Watertown, MA 02472-3473
Phone Number
617-924-3343
Fax Number
617-926-6634
Primary Taxonomy
Optometrist · 152W00000X
Sole Proprietor
No
Provider Enumeration Date
September 8, 2005
Last Update Date
April 13, 2009
NPI Status
Active

Provider Business Practice Location Address Details

Address
31 Spring St
Watertown, MA 02472-3473
Zip
02472-3473
Phone Number
617-924-3343
Fax Number
617-926-6634
Watertown, MA 02472Get directions →

Provider Business Mailing Address Details

Address
31 Spring St
Watertown, MA 02472-3473
City
Watertown
State
MA
Zip
02472-3473
Phone Number
617-924-3343
Fax Number
617-926-6634

License Information

License Number
2219
License State
MA
Taxonomy
Optometrist · 152W00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Malcolm R Greene, OD?

The NPI number of Dr. Malcolm R Greene, OD is 1649264318. It was assigned on September 8, 2005 and is currently active in the NPPES registry.

What is the specialty of Dr. Malcolm R Greene, OD?

Dr. Malcolm R Greene, OD is registered under the primary taxonomy Optometrist (code 152W00000X), licensed in MA under license number 2219.

Where does Dr. Malcolm R Greene, OD practice?

The practice location is 31 Spring St, Watertown, MA 02472-3473. The office can be reached at 617-924-3343 (phone) or 617-926-6634 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1649264318 directly on the NPPES registry website.

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