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GREGORY CHAD GREEN OD NPI 1720152739


NPI Information

NPI: 1720152739
Provider Name: GREGORY CHAD GREEN OD

Doing Business As: GREEN FAMILY EYE CARE

Classification: Optometrist - 152W00000X
Entity Type: Organization

CLIA Number: 01D1083392

Address:
1401 US HIGHWAY 80 WEST
DEMOPOLIS, AL
ZIP 36732
Phone: (334) 289-0466
Get Directions

GREGORY CHAD GREEN OD is an optometrist in Demopolis, AL. The provider is doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists 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. An optometrist has 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. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. GREGORY CHAD GREEN OD NPI is 1720152739. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Green Family Eye Care.

The provider's business location address is:

1401 US HIGHWAY 80 WEST
DEMOPOLIS, AL
ZIP 36732-127
Phone: (334) 289-0466
Fax: (334) 289-5588

The provider's authorized official is G Chad Green .
The authorized official title is Owner and has the following contact phone number (334) 289-0466.

The CLIA number assigned to this NPI record is 01D1083392 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/20/2006 and was last updated on 7/14/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1152W00000XOptometristS-773-TA-219ALABAMAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
101D1083392OTHERALABAMACLIA ID NUMBER
2529920020MEDICAIDALABAMA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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