Provider Demographics
NPI:1356476162
Name:GREITZER, MANNY HYE (OD)
Entity Type:Individual
Prefix:
First Name:MANNY
Middle Name:HYE
Last Name:GREITZER
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18 GREENWICH AVE
Mailing Address - Street 2:
Mailing Address - City:GREENWICH
Mailing Address - State:CT
Mailing Address - Zip Code:06830-5524
Mailing Address - Country:US
Mailing Address - Phone:203-661-2020
Mailing Address - Fax:203-661-3930
Practice Address - Street 1:18 GREENWICH AVE
Practice Address - Street 2:
Practice Address - City:GREENWICH
Practice Address - State:CT
Practice Address - Zip Code:06830-5524
Practice Address - Country:US
Practice Address - Phone:203-661-2020
Practice Address - Fax:203-661-3930
Is Sole Proprietor?:No
Enumeration Date:2007-02-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT26024152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist