Active NPI
Todd E. Greene, OD
- Optometrist
- Cromwell, CT
National Provider Identifier
1275535544
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 002483
- Practice address
- 160 West St Ste J
Cromwell, CT 06416 - Phone
- (860) 635-6149
- Fax
- (860) 632-1401
- NPI assigned
- Jun 1, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 002483 | CT | Primary |
Addresses
Primary practice location
160 West St Ste J
Cromwell, CT 06416
Mailing address
1268 Sumner Ave
Springfield, MA 01118-1770
Phone (413) 782-5339
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174068357 | Medicaid | CT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- New England College of Optometry, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
160 W St
Suite J
Cromwell, CT 06416-2441
Phone (860) 635-6149
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 002483 | CT | MD | Clinical Social Worker |
| 4061 | MA | MD | Occupational Therapist |
Organizations & group practices 1
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.
-
- Optometrist
- Cromwell, CT
- NPI 1174068357
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1117584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1528761600000",
"number": "1275535544",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1268 SUMNER AVE",
"city": "SPRINGFIELD",
"state": "MA",
"postal_code": "011181770",
"telephone_number": "413-782-5339",
"fax_number": "413-782-3050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "160 WEST ST STE J",
"city": "CROMWELL",
"state": "CT",
"postal_code": "06416",
"telephone_number": "860-635-6149",
"fax_number": "860-632-1401"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREENE",
"first_name": "TODD",
"middle_name": "E.",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-06-01",
"last_updated": "2018-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CT",
"license": "002483",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1174068357",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cromwell, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2018; 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.