Active NPI
Matthew B Greene, OD
- Optometrist
- Americus, GA
National Provider Identifier
1457616898
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPT002701
- Practice address
- 1119 E Lamar St
Americus, GA 31709 - Phone
- (229) 924-4022
- Fax
- (229) 924-7133
- NPI assigned
- Jul 11, 2012
- Last updated
- Jul 11, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPT002701 | GA | Primary |
Addresses
Primary practice location
1119 E Lamar St
Americus, GA 31709
Mailing address
1119 E Lamar St
Americus, GA 31709
Phone (229) 924-4022
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- University Alabama Birmingham - School of Optometry, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1119 E Lamar St
Americus, GA 31709-3762
Phone (229) 924-4022
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regional Eye Center, LLP | Optometrist | Current | Accepting new patients |
| Williams, Moates & Moates | Optometrist | Past | Accepting new patients |
Locations
1119 E Lamar St
Americus, GA 31709
Phone (229) 924-4022
210 E Lamar St
Americus, GA 31709
Phone (229) 924-4022
Organizations & group practices 2
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.
-
dba Regional Eye Center
- Ophthalmology Physician
- Leesburg, GA
- NPI 1235359720
Optometrist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1341964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1341964800000",
"number": "1457616898",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1119 E LAMAR ST",
"city": "AMERICUS",
"state": "GA",
"postal_code": "31709",
"telephone_number": "229-924-4022",
"fax_number": "229-924-7133"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1119 E LAMAR ST",
"city": "AMERICUS",
"state": "GA",
"postal_code": "31709",
"telephone_number": "229-924-4022",
"fax_number": "229-924-7133"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREENE",
"first_name": "MATTHEW",
"middle_name": "B",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-07-11",
"last_updated": "2012-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "GA",
"license": "OPT002701",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Americus, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2012; 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.