Green Optical

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

Legal business name

GREEN OPTICAL

Practice address

854 Lone Oak Dr
Gallatin, TN 37066

Phone

(615) 452-1602

Fax

(615) 452-9643

NPI assigned

Oct 26, 2006

Last updated

Apr 6, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Michael Edward Green, MDNPI 1053414581

Title

Chief Partner

Phone

(615) 452-1602

Specialties & licenses 1

Addresses

Other identifiers 6

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michael E Green, MD

  • Ophthalmology Physician
  • Gallatin, TN
  • NPI 1053414581
  NPD (past) Authorized official

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1270512000000",
    "number": "1104901578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "854 LONE OAK DR",
            "city": "GALLATIN",
            "state": "TN",
            "postal_code": "370663694",
            "telephone_number": "615-452-1602",
            "fax_number": "615-452-9643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "854 LONE OAK DR",
            "city": "GALLATIN",
            "state": "TN",
            "postal_code": "37066",
            "telephone_number": "615-452-1602",
            "fax_number": "615-452-9643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREEN OPTICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-26",
        "last_updated": "2010-04-06",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "CHIEF PARTNER",
        "authorized_official_telephone_number": "615-452-1602",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYEMED",
            "identifier": "OP1903",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLOCK VISION",
            "identifier": "021446",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLOCK VISION",
            "identifier": "905714",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TENNCARE SELECT",
            "identifier": "0191345",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STERLING VISION",
            "identifier": "632",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "3157442",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Thomas L Graves, OD
• Misty Gray-Winnett, PHARMD
• Deborah Pearson Gray, APN
• Mary Catherine Gray
• Greater Nashville Health Institute LLC
• Green Surgery Center LLC
• Becky Ann Green
• Danielle Green
• Donald Green, SLP-CCC
• Michael E Green, MD

• Eyewear Supplier in Gallatin, TN
• Providers in Gallatin, TN by specialty
• Eyewear Supplier in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.