NPIMap

Organization Active NPI

Thomas W Greene, O.D.,P.C.

  • Corneal and Contact Management Optometrist
  • Bowie, TX
National Provider Identifier
1306024823
Registry record updated Feb 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Corneal and Contact Management OptometristTaxonomy code 152WC0802X
License
2610T Issued in TX
Legal business name
THOMAS W GREENE, O.D.,P.C.
Practice address
501 E London St
Bowie, TX 76230-3020
Phone
(940) 872-5417
Fax
(940) 872-6754
NPI assigned
Feb 6, 2008
Last updated
Feb 29, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 29, 2012

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

Authorized official

Name
Dr. Thomas W Greene, O.D.NPI 1972539070
Title
Owner/President
Phone
(940) 872-5417

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Corneal and Contact Management Optometrist 152WC0802X 2610T TX Primary

Addresses

Primary practice location

501 E London St
Bowie, TX 76230-3020

Mailing address

PO Box 31
Bowie, TX 76230-0031
Phone (940) 872-5417

Other identifiers 1

IdentifierTypeStateIssuer
219146201MedicaidTX

National Provider Directory

National Provider Directory

Locations

501 E London St
Bowie, TX 76230
Phone (940) 872-5417

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1202256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330473600000",
    "number": "1306024823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 31",
            "city": "BOWIE",
            "state": "TX",
            "postal_code": "762300031",
            "telephone_number": "940-872-5417",
            "fax_number": "940-872-6754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 E LONDON ST",
            "city": "BOWIE",
            "state": "TX",
            "postal_code": "762303020",
            "telephone_number": "940-872-5417",
            "fax_number": "940-872-6754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS W GREENE, O.D.,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-06",
        "last_updated": "2012-02-29",
        "status": "A",
        "authorized_official_last_name": "GREENE",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "940-872-5417",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "TX",
            "license": "2610T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "219146201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowie, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2012; 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.