Individual provider Active NPI

Christina Berry Green, OD

  • Optometrist
  • Denver, CO
National Provider Identifier
1467587907
Registry record updated Jul 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
CO1556 Issued in CO
Practice address
2031 S Federal Blvd
Denver, CO 80219-5429
Phone
(310) 722-6113
NPI assigned
Feb 23, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X CO1556 CO Primary

Addresses

Primary practice location

2031 S Federal Blvd
Denver, CO 80219-5429

Mailing address

2031 S Federal Blvd
Denver, CO 80219-5429
Phone (310) 722-6113

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20181107000973 CO Practitioner - Optometry 6406100650 Practice locations: Denver, CO

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2438FLMDChiropractor
CO1556COMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Philip R Sidran, OD, PA Optometrist PastSince Nov 13, 2010 Accepting new patients
Philip R Sidran, OD, PA Past Accepting new patients
Christina Green, OD Optometrist Past Accepting new patients
Optical Masters Past Accepting new patients

Organizations & group practices 4

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": "1172188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784764800000",
    "number": "1467587907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2031 S FEDERAL BLVD",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802195429",
            "telephone_number": "310-722-6113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2031 S FEDERAL BLVD",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802195429",
            "telephone_number": "310-722-6113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "CHRISTINA",
        "middle_name": "BERRY",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-23",
        "last_updated": "2026-07-23",
        "certification_date": "2026-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "CO1556",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.