Sharon M Green, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

1382-3 Issued in KS

Practice address

3111 W 6TH St
Lawrence, KS 66049-3101

Phone

(785) 841-5288

Fax

(785) 749-2323

NPI assigned

Jul 18, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Sharon A Green Former name

Medicare fee-for-service enrollment

Enrolled in KS

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

Specialty

Optometry

Education

University of Houston - College of Optometry, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lawrence Family Vision Clinic P aGroup PAC ID 4587610043, 4 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

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.

• Lawrence Family Vision Clinic P a

  • Optometrist
  • Lawrence, KS
  • NPI 1396895009
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1121644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306454400000",
    "number": "1174522775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3111 W. 6TH",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660493101",
            "telephone_number": "785-479-2020",
            "fax_number": "785-749-2323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3111 W 6TH ST",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660493101",
            "telephone_number": "785-841-5288",
            "fax_number": "785-749-2323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "SHARON",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-18",
        "last_updated": "2011-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KS",
            "license": "1382-3",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100219780A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHARON",
            "last_name": "GREEN",
            "middle_name": "A",
            "credential": "OD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Nicole Graves, LPC
• John Gravino, DO
• Jay Paul Gray, PA-C
• Garrett Greaves, DPT, CSCS
• Krysta Green, AUD
• Katherine Greenleaf, M.A., CCC-SLP
• Jennifer Diann Greever, LSCSW
• Jeremie Gregory, FNP
• Shawn Aiden Gregory
• Mark Gridley, CCC-SLP

• Optometrist in Lawrence, KS
• Providers in Lawrence, KS by specialty
• Optometrist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2011; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.