Richard S. Green

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

RICHARD S. GREEN

Practice address

13210 SE 240TH St Ste C2
Kent, WA 98042-5182

Phone

(253) 631-1530

Fax

(253) 631-5262

NPI assigned

Feb 21, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Richard S Green, O.D.

Title

Owner

Phone

(253) 631-1530

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Kent Meridian Family Eyecare Former legal business name

Locations

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

{
    "created_epoch": "1203552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203638400000",
    "number": "1194994350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13210 SE 240TH ST STE C2",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980425182",
            "telephone_number": "253-631-1530",
            "fax_number": "253-631-5262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13210 SE 240TH ST STE C2",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980425182",
            "telephone_number": "253-631-1530",
            "fax_number": "253-631-5262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD S. GREEN",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-21",
        "last_updated": "2008-02-22",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "253-631-1530",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2001857",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kent Meridian Family Eyecare",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Kiana Rhem, CNA
• Naomi R Rhoads, L.AC., LMP
• Mariah Rhodes-Zoroufy
• Alexandra K Rice, SLP
• Richard Hayashi DDS,PLLC (Hayashi Family Dental)
• Annaliza K Richard
• James Matthew Richard, RPH
• Tyteonna Richard
• Christy Lynn Richards, LMP
• Emily Richardson

• Optometrist in Kent, WA
• Providers in Kent, WA by specialty
• Optometrist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2008; 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.