Barry Seth Green, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

9001T Issued in CA

Practice address

7147 Burnett St
Sebastopol, CA 95472-4349

Phone

(707) 829-5440

Fax

(888) 416-4393

NPI assigned

Apr 3, 2007

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 CA

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

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

• Barry S Green O.D. Inc.

  • Optometrist
  • Sebastopol, CA
  • NPI 1407186844
  NPD Authorized official

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264032000000",
    "number": "1114048162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7147 BURNETT ST",
            "city": "SEBASTOPOL",
            "state": "CA",
            "postal_code": "954724349",
            "telephone_number": "707-829-5440",
            "fax_number": "888-416-4393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7147 BURNETT ST",
            "city": "SEBASTOPOL",
            "state": "CA",
            "postal_code": "954724349",
            "telephone_number": "707-829-5440",
            "fax_number": "888-416-4393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "BARRY",
        "middle_name": "SETH",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-03",
        "last_updated": "2010-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "9001T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Gordon, LPCC
• Pamela Lynn Gould, N.D.
• Rio Govea, LAC
• Anthony Grados, DDS
• Susan Gray, LAC
• Greenacre Homes, Inc.
• Greenacre Homes, Inc.
• Greenacre Homes, Inc.
• Greenacre Homes, Inc.
• Susan Greenberg, GNP, RN

• Optometrist in Sebastopol, CA
• Providers in Sebastopol, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2010; 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.