Green Eye Institute PA

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

GREEN EYE INSTITUTE PA

Practice address

2901 Arlington Loop
Hattiesburg, MS 39401-7101

Phone

(601) 268-5144

Fax

(601) 268-5149

NPI assigned

Jul 31, 2006

Last updated

Nov 2, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Kiper Nelson, MD

Title

Physician Owner

Phone

(601) 268-5144

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

Locations

Practitioners 1

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.

• Katherine Elizabeth Reynolds, OD

  • Optometrist
  • Hattiesburg, MS
  • NPI 1003433467
  Medicare reassignment NPD

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667347200000",
    "number": "1194731570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2901 ARLINGTON LOOP",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394017101",
            "telephone_number": "601-268-5144",
            "fax_number": "601-268-5149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 ARLINGTON LOOP",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394017101",
            "telephone_number": "601-268-5144",
            "fax_number": "601-268-5149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREEN EYE INSTITUTE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-31",
        "last_updated": "2022-11-02",
        "certification_date": "2022-11-02",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "KIPER",
        "authorized_official_title_or_position": "PHYSICIAN OWNER",
        "authorized_official_telephone_number": "601-268-5144",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09011221",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCARE RAILROAD",
            "identifier": "B0259",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lynjaven J Gray
• Marli Malone Gray, DNP, CRNA
• Matilyn Walden Gray
• Russell Wayne Gray, CRNA
• Brandon Isaac Grayson
• Annie B Green, FNP-BC
• Cierra Celeste Green, M.D.
• Gachavis M Green, D.P.M.
• John Green III, D.O
• Lauren Greenspoon

• Optometrist in Hattiesburg, MS
• Providers in Hattiesburg, MS by specialty
• Optometrist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.