Greene, Raymond Karl
Greene, Raymond Karl is an sole proprietor health care provider with primary practice located at 850 W Ironwood Dr Suite 104, Coeur D Alene ID 83814-4903. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Greene, Raymond Karl can be contacted via phone (208) 765-2020.Contact Information
Primary practice address
850 W Ironwood Dr Suite 104
Coeur D Alene ID 83814-4903
Phone: (208) 765-2020
Fax: (208) 765-1460
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Eye and Vision Services Providers / Optometrist | 152W00000X | 845 | Idaho |
Profile Details
NPI number | 1689669798 |
---|---|
LBN Legal business name | Greene, Raymond Karl |
Credentials | Doctor of Optometry (OD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Sep 14th, 2005 |
Last updated | Mar 12th, 2008 - about 16 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1689669798 | NPPES |
Idaho | MEDICAID | 002691400 |
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