Dr. Lanette Green is a Waite Park, Minnesota based female Optometrist who is specialized in Optometry. Active license number of Dr. Lanette Green is 3801 for Optometry in Minnesota. Dr. Lanette Green examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. She completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. She is a eye health care professional who is state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Complete Profile:
Dr. Lanette Green speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Optometry
Credentials:
O.D.
Gender:
Female
Practice Address:
206 Division St, Waite Park, Minnesota, 56387-1331
Phone:
320-253-0365
Professional Identification Codes:
NPI number stands for National Provider Identifier which 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).
NPI details are as mentioned below.
NPI Number:
1578607958
NPI Enumeration Date:
17 Feb, 2007
NPI Last Update On:
03 Oct, 2022
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Lanette Green are as mentioned below.
License Number
Specialization
State
Status
3801
Optometry
Minnesota
Primary
6042T
Optometry
Texas
Secondary
1393-531T
Optometry
Louisiana
Secondary
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Lanette Green such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
LA6042
Other
Louisiana
EYEMED PROVIDER NUMBER
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
1205 20th Ave S, Sartell, Minnesota
Zip:
56377-2488
Phone Number:
337-367-3834
Fax Number:
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Patients can reach Dr. Lanette Green at 206 Division St, Waite Park, Minnesota or can call to book an appointment on 320-253-0365. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.