Richard Alan Greene, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1648 Issued in FL

Practice address

2225 A1A S
Suite C2
St Augustine, FL 32080-2916

Phone

(904) 471-8750

Fax

(904) 471-5996

NPI assigned

Sep 1, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Aeg Florida Professional PLLC

  • Optometrist
  • Jacksonville, FL
  • NPI 1164156246
  Medicare reassignment NPD
• Richard a. Greene, O.D., P.a.

  • Optometrist
  • St Augustine, FL
  • NPI 1407151335
  Authorized official Same address or phone

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

{
    "created_epoch": "1157068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1114039336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2225 A1A S",
            "address_2": "SUITE C2",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320802916",
            "telephone_number": "904-471-8750",
            "fax_number": "904-471-5996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2225 A1A S",
            "address_2": "SUITE C2",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320802916",
            "telephone_number": "904-471-8750",
            "fax_number": "904-471-5996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENE",
        "first_name": "RICHARD",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "1648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carmaneila L. Green
• Megan Elizabeth Green, APRN
• Ana Greenberger, ARNP
• Carol L Greenblatt, D.O.
• Michael J Greenblatt, MD
• David Lance Greenwald, M.D.
• Jessica Greer, LMT
• Greg Wolf (Greg)
• Gregory a Gibson M D P a
• Alysa M Gregory, LCSW

• Optometrist in St Augustine, FL
• Providers in St Augustine, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.