Individual provider Active NPI

Kevin W Greeman, O.D.

  • Optometrist
  • San Antonio, TX
National Provider Identifier
1316909807
Registry record updated Jun 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
6585TG Issued in TX
Practice address
249 E Hildebrand Ave
San Antonio, TX 78212-2402
Phone
(210) 824-4503
Fax
(210) 824-2542
NPI assigned
Apr 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 6585TG TX Primary

Addresses

Primary practice location

249 E Hildebrand Ave
San Antonio, TX 78212-2402

Mailing address

249 E Hildebrand Ave
San Antonio, TX 78212-2402
Phone (210) 824-4503

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20041202000013 TX Practitioner - Optometry 4486610425 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Greeman and GreemanGroup PAC ID 4385600329, 2 clinicians

Practice addresses (Care Compare)

249 E Hildebrand
San Antonio, TX 78212-2402
Phone (210) 824-4503

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery11

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6585TGTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Greeman & Greeman Optometrist CurrentSince Nov 21, 2004 Accepting new patients

Locations

249 E Hildebrand Ave
San Antonio, TX 78212
Phone (210) 824-4503

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.

NPI Registry JSON

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

{
    "created_epoch": "1144022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370390400000",
    "number": "1316909807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "249 E HILDEBRAND AVE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782122402",
            "telephone_number": "210-824-4503",
            "fax_number": "210-824-2542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "249 E HILDEBRAND AVE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782122402",
            "telephone_number": "210-824-4503",
            "fax_number": "210-824-2542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEMAN",
        "first_name": "KEVIN",
        "middle_name": "W",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-03",
        "last_updated": "2013-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "6585TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.