Henry a Greene OD PA

Primary specialty

OptometristTaxonomy code 152W00000X

License

1011 Issued in NC

Legal business name

HENRY A GREENE OD PA

Practice address

3115 Academy Rd
Durham, NC 27707-2652

Phone

(919) 493-7456

Fax

(919) 493-1718

NPI assigned

Oct 23, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Henry Greene, OD

Title

President

Phone

(919) 493-7456

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1193097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274400000000",
    "number": "1457540692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3115 ACADEMY RD",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277072652",
            "telephone_number": "919-493-7456",
            "fax_number": "919-493-1718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3115 ACADEMY RD",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277072652",
            "telephone_number": "919-493-7456",
            "fax_number": "919-493-1718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENRY A GREENE OD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-23",
        "last_updated": "2010-05-21",
        "status": "A",
        "authorized_official_last_name": "GREENE",
        "authorized_official_first_name": "HENRY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "919-493-7456",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NC",
            "license": "1011",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8909336",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Thomas Hennessey Jr.
• Therese Hennig
• Caitlin Patricia Henning, PT, DPT
• Lisa Eve Henning, DPT
• Bradley Henningsgaard, PA-C
• Henry Henry-Ajudua, DC
• Kierra Henry-Ajudua
• Vivian Henry-Ajudua, APRN/PMHNP-BC
• Camille M Henry, M.D.
• Kristin Henry, MSW, LCSWA

• Optometrist in Durham, NC
• Providers in Durham, NC by specialty
• Optometrist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2010; 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.