Lisa S. Green, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

4691 T1466 Issued in OH

Practice address

600 N Court St
Circleville, OH 43113-1226

Phone

(740) 477-2504

Fax

(740) 477-1987

NPI assigned

Jul 19, 2006

Last updated

Sep 6, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

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

Specialty

Optometry

Education

Illinois College of Optometry at Chicago, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Lisa S. Green, O.D., LLC

  dba Eyes on Court

  • Optometrist
  • Circleville, OH
  • NPI 1083091722
  Medicare reassignment NPD Authorized official
• David W Wineland

  dba I Care Vision Center of Circleville

  • Optometrist
  • Circleville, OH
  • NPI 1215092804
  NPD (past)

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725580800000",
    "number": "1316966047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 N COURT ST",
            "city": "CIRCLEVILLE",
            "state": "OH",
            "postal_code": "431131226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 N COURT ST",
            "city": "CIRCLEVILLE",
            "state": "OH",
            "postal_code": "431131226",
            "telephone_number": "740-477-2504",
            "fax_number": "740-477-1987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "LISA",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-19",
        "last_updated": "2024-09-06",
        "certification_date": "2024-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "4691  T1466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Goodwin
• Kathryn J Gorney, PC
• Brian Graham
• Deborah M Gray, LPCC
• Deirdre Green
• Angela Kay Greenhill, CDCA, QMHS HS
• Justin D Grimes, CDCA
• Chasity Grooms
• Marc Grossnickle
• Gtgif, LLC (Carnival Foods Pharmacy)

• Optometrist in Circleville, OH
• Providers in Circleville, OH by specialty
• Optometrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2024; 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.

Verify at the official NPI Registry.