Provider Demographics
NPI:1043318603
Name:GREER, DAVID D (BCO)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:D
Last Name:GREER
Suffix:
Gender:M
Credentials:BCO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6675 SORENSEN PKWY
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68152-2139
Mailing Address - Country:US
Mailing Address - Phone:402-392-1646
Mailing Address - Fax:402-573-0568
Practice Address - Street 1:6675 SORENSEN PKWY
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68152-2139
Practice Address - Country:US
Practice Address - Phone:402-392-1646
Practice Address - Fax:402-573-0568
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156FX1700XEye and Vision Services ProvidersTechnician/TechnologistOcularist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE47069681000Medicaid
NE87608OtherCOVENTRY HEALTH CARE
IA0901173Medicaid
NE09971OtherBCBS
NEF235055OtherMIDLANDS CHOICE
0570600001Medicare ID - Type Unspecified