Organization Active NPI

Greene Eyes PA

  • Durable Medical Equipment & Medical Supplies
  • Bryan, TX
National Provider Identifier
1104985654
Registry record updated Jan 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
5726 T G Issued in TX
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

Updated by the provider on Jan 21, 2009

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.