Basic Information
| Provider Information | |||||||||
| NPI: | 1275919615 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | GREITEN | ||||||||
| FirstName: | LINDSAY | ||||||||
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| Credential: | O.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 525 W WETMORE RD | ||||||||
| Address2: | |||||||||
| City: | TUCSON | ||||||||
| State: | AZ | ||||||||
| PostalCode: | 857055093 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5202932363 | ||||||||
| FaxNumber: | 5202930475 | ||||||||
| Practice Location | |||||||||
| Address1: | 525 W WETMORE RD | ||||||||
| Address2: | |||||||||
| City: | TUCSON | ||||||||
| State: | AZ | ||||||||
| PostalCode: | 857055093 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5202932363 | ||||||||
| FaxNumber: | 5202930475 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/07/2015 | ||||||||
| LastUpdateDate: | 05/19/2016 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 152W00000X | 2082 | AZ | Y | Eye and Vision Services Providers | Optometrist |
No ID Information.