Richard a. Greene, O.D., P.a.

Primary specialty

OptometristTaxonomy code 152W00000X

License

FL1648 Issued in FL

Legal business name

RICHARD A. GREENE, O.D., P.A.

Practice address

2225 A1A S
Suite C2
Saint Augustine, FL 32080-2916

Phone

(904) 471-8750

Fax

(904) 471-5996

NPI assigned

Jan 25, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Richard Alan Greene, O.D.

Title

Optometrist/Owner

Phone

(904) 471-8750

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1295913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295913600000",
    "number": "1407151335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2225 A1A S",
            "address_2": "SUITE C2",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320802916",
            "telephone_number": "904-471-8750",
            "fax_number": "904-471-5996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2225 A1A S",
            "address_2": "SUITE C2",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320802916",
            "telephone_number": "904-471-8750",
            "fax_number": "904-471-5996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD A. GREENE, O.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-25",
        "last_updated": "2011-01-25",
        "status": "A",
        "authorized_official_last_name": "GREENE",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "OPTOMETRIST/OWNER",
        "authorized_official_telephone_number": "904-471-8750",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "FL1648",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1114039336",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Trayce Rhoads, APRN, PMHNP-BC
• Anne Marie Rhoden, LMT
• Maureen Riccitello, ARNP
• Joseph C Rice, P.A.-C.
• Roxanne Rich
• Lee Richards
• McKenzie Richey
• Katelyn Richmond, LCSW
• Alyssa Carin Rickenbrode
• Ride the Wave Therapy Services

• Optometrist in St Augustine, FL
• Providers in St Augustine, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2011; 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.