Organization Active NPI

Lawrence H Green, MD a Medical Corporation

Doing business as Green Vision Care

  • Ophthalmology Physician
  • Encino, CA
National Provider Identifier
1114060498
Registry record updated Mar 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
G26942 Issued in CA
Legal business name
LAWRENCE H GREEN, MD A MEDICAL CORPORATION
Doing business as
Green Vision Care
Practice address
16055 Ventura Blvd
#630
Encino, CA 91436-2601
Phone
(818) 990-0300
Fax
(818) 990-4854
NPI assigned
Feb 15, 2007
Last updated
Mar 15, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2013

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

Authorized official

Name
Dr. Lawrence H Green, M.D.
Title
Owner
Phone
(818) 990-0300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X G26942 CA Primary

Addresses

Primary practice location

16055 Ventura Blvd
#630
Encino, CA 91436-2601

Mailing address

16055 Ventura Blvd
#630
Encino, CA 91436-2601
Phone (818) 990-0300

Other names 1

  • Green Vision Care Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363305600000",
    "number": "1114060498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16055 VENTURA BLVD",
            "address_2": "#630",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914362601",
            "telephone_number": "818-990-0300",
            "fax_number": "818-990-4854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16055 VENTURA BLVD",
            "address_2": "#630",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914362601",
            "telephone_number": "818-990-0300",
            "fax_number": "818-990-4854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAWRENCE H GREEN, MD A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-15",
        "last_updated": "2013-03-15",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-990-0300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "G26942",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Green Vision Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Encino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2013; 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.