Active NPI
Greene Eyes PA
- Durable Medical Equipment & Medical Supplies
- Bryan, TX
National Provider Identifier
1104985654
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 5726 T G
- Legal business name
- GREENE EYES PA
- Practice address
- 725 E Villa Maria Rd Ste 1500
Bryan, TX 77802-5345 - Phone
- (979) 775-4900
- Fax
- (979) 775-4949
- NPI assigned
- Dec 8, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Matthew T Greene, OD
- Title
- Owner
- Phone
- (979) 775-4900
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 5726 T G | TX | Primary |
Addresses
Primary practice location
725 E Villa Maria Rd Ste 1500
Bryan, TX 77802-5345
Mailing address
725 E Villa Maria Rd Ste 1500
Bryan, TX 77802-5345
Phone (979) 775-4900
National Provider Directory
National Provider DirectoryLocations
725 E Villa Maria Rd
Ste 1500
Bryan, TX 77802
Phone (979) 775-4900
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165536000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1232496000000",
"number": "1104985654",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "725 E VILLA MARIA RD STE 1500",
"city": "BRYAN",
"state": "TX",
"postal_code": "778025345",
"telephone_number": "979-775-4900",
"fax_number": "979-775-4949"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "725 E VILLA MARIA RD STE 1500",
"city": "BRYAN",
"state": "TX",
"postal_code": "778025345",
"telephone_number": "979-775-4900",
"fax_number": "979-775-4949"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GREENE EYES PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-08",
"last_updated": "2009-01-21",
"status": "A",
"authorized_official_last_name": "GREENE",
"authorized_official_first_name": "MATTHEW",
"authorized_official_middle_name": "T",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "979-775-4900",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "TX",
"license": "5726 T G",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bryan, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.