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GREEN OPTICAL NPI 1104901578


NPI Information

NPI: 1104901578
Provider Name: GREEN OPTICAL
Classification: Eyewear Supplier - 332H00000X
Entity Type: Organization
Address:
854 LONE OAK DR
GALLATIN, TN
ZIP 37066
Phone: (615) 452-1602
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GREEN OPTICAL is an eyewear supplier in Gallatin, TN. The provider is an organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. GREEN OPTICAL NPI is 1104901578. The provider is registered as an organization entity type.

The provider's business location address is:

854 LONE OAK DR
GALLATIN, TN
ZIP 37066
Phone: (615) 452-1602
Fax: (615) 452-9643

The provider's authorized official is Michael Edward Green .
The authorized official title is Chief Partner and has the following contact phone number (615) 452-1602.

The enumeration date for this NPI number is 10/26/2006 and was last updated on 4/6/2010.


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
1332H00000XEyewear SupplierYes

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
1021446OTHERBLOCK VISION
21318360001MEDICARE ID-TYPE UNSPECIFIED
33157442OTHERTENNESSEEBLUE CROSS BLUE SHIELD
4632OTHERSTERLING VISION
5OP1903OTHEREYEMED
60191345OTHERTENNCARE SELECT
7905714OTHERBLOCK VISION

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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