MEDICARE: DR. GREGORY GREER O.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	WA3834TX	WA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1184626301
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GREGORY GREER O.D.

Provider Business Mailing Address
First Line	:	8520 STEILACOOM BLVD SW
Second Line	:	STE 101
City	:	LAKEWOOD
State	:	WA
Zip	:	98498-4773
Country	:	US
Telephone Number	:	253-475-3937
Fax Number	:	855-664-7324

Provider Business Practice Location Address
First Line	:	4502 S STEELE ST
Second Line	:	SUITE 304-B
City	:	TACOMA
State	:	WA
Zip	:	98409-7242
Country	:	US
Telephone Number	:	253-472-6465
Fax Number	:	253-473-4278

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/01/2005
Last Update Date	:	03/08/2017

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