Provider Demographics
NPI:1962421008
Name:GREEMAN & GREEMAN
Entity type:Organization
Organization Name:GREEMAN & GREEMAN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NELSON
Authorized Official - Middle Name:
Authorized Official - Last Name:GREEMAN
Authorized Official - Suffix:III
Authorized Official - Credentials:OD
Authorized Official - Phone:210-824-4503
Mailing Address - Street 1:249 E HILDEBRAND AVE
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78212-2402
Mailing Address - Country:US
Mailing Address - Phone:210-824-4503
Mailing Address - Fax:210-824-2542
Practice Address - Street 1:249 E HILDEBRAND AVE
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78212-2402
Practice Address - Country:US
Practice Address - Phone:210-824-4503
Practice Address - Fax:210-824-2542
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-19
Last Update Date:2013-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00E54GOtherMEDICARE PART B
TXT13548Medicare UPIN
TX0403830001Medicare NSC