Organization Active NPI

Green Eye Associates, PLLC

  • Optometrist
  • Waco, TX
National Provider Identifier
1063833242
Registry record updated Jan 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5972 Issued in TX
Legal business name
GREEN EYE ASSOCIATES, PLLC
Practice address
201 Colonnade Pkwy
Waco, TX 76712-6174
Phone
(254) 752-0471
Fax
(254) 237-5401
NPI assigned
Dec 14, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Leigh Anne Green, O.D.NPI 1447502166
Title
Owner, Optometrist
Phone
(254) 752-0471

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 5972 TX Primary

Addresses

Primary practice location

201 Colonnade Pkwy
Waco, TX 76712-6174

Mailing address

201 Colonnade Pkwy
Woodway, TX 76712
Phone (254) 752-0471

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140527000167 TX Part B Supplier - Clinic/Group Practice 2961625694 Receives reassigned benefits from 4 practitioners
Practice locations: Woodway, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2269009Green Eye Associates201 Colonnade Pkwy, Woodway, TX 76712Certificate of waiverSep 19, 2026

National Provider Directory

National Provider Directory

Locations

816 Lake Air Dr
Waco, TX 76710
Phone (254) 548-3527

1215 Lake Air Dr
Waco, TX 76710
Phone (254) 752-0471

201 Colonnade Pkwy
Waco, TX 76712
Phone (254) 752-0471

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1386979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768435200000",
    "number": "1063833242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 COLONNADE PKWY",
            "city": "WOODWAY",
            "state": "TX",
            "postal_code": "76712",
            "telephone_number": "254-752-0471",
            "fax_number": "254-237-5401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 COLONNADE PKWY",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767126174",
            "telephone_number": "254-752-0471",
            "fax_number": "254-237-5401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREEN EYE ASSOCIATES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-14",
        "last_updated": "2026-01-15",
        "certification_date": "2026-01-15",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "LEIGH",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "OWNER, OPTOMETRIST",
        "authorized_official_telephone_number": "254-752-0471",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "5972",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.