Active NPI
George Green
- Optometrist
- San Antonio, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 8993TG
- Practice address
- 10003 NW Military Hwy Ste 3111
San Antonio, TX 78231-1891 - Phone
- (210) 355-3551
- NPI assigned
- Aug 22, 2016
- Last updated
- Jan 7, 2024
- 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 | 8993TG | TX | Primary |
Addresses
Primary practice location
10003 NW Military Hwy Ste 3111
San Antonio, TX 78231-1891
Mailing address
PO Box 745
Boerne, TX 78006-0745
Phone (210) 355-3551
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- 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 of Houston - College of Optometry, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1130 N Loop 1604
Suite 102
San Antonio, TX 78248-4507
Phone (210) 545-2020
9725 Datapoint Dr
San Antonio, TX 78229-2384
Phone (210) 283-6800
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8993TG | TX | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of the Incarnate Word | Optometrist | Current | Accepting new patients |
| University of the Incarnate Word | Current | Accepting new patients | |
| Eyemax Vision PLLC | Optometrist | Current | Accepting new patients |
| Aeg Texas Professional PLLC | Optometrist | Current | Accepting new patients |
| Dianne Bui Dao OD PC | Optometrist | Past | Accepting new patients |
| Pope Enterprises PLLC | Optometrist | Past | Accepting new patients |
| Janet B Ogletree OD PA | Optometrist | Past | Accepting new patients |
| DRS. Bell, Davis, Elder & Assoc | Optometrist | Past | Accepting new patients |
Locations
3908 Far West Blvd
Austin, TX 78731
Phone (512) 343-0432
12320 Barker Cypress Rd
Ste 400
Cypress, TX 77429
Phone (281) 373-1020
3551 Justin Rd
Ste 150
Flower Mound, TX 75028
Phone (210) 490-9205
1102 S Friendswood Dr
Ste A
Friendswood, TX 77546
Phone (281) 482-0066
6850 N Shiloh Rd
Ste T
Garland, TX 75044
Phone (972) 414-0444
2705 Broadway St
Ste 115
Pearland, TX 77581
Phone (281) 485-2020
10003 NW Military Hwy
Ste 3111
San Antonio, TX 78231
Phone (210) 355-3551
1130 N Loop 1604 W
Ste 102
San Antonio, TX 78248
Phone (210) 545-2020
1205 N Loop 1604 W
San Antonio, TX 78258
Phone (210) 319-2900
15677 San Pedro Ave
#B
San Antonio, TX 78232
Phone (210) 490-9205
7915 W Loop 1604 N
Ste 118
San Antonio, TX 78254
Phone (210) 257-0940
810 Knights Cross Dr
Ste 101
San Antonio, TX 78258
Phone (210) 495-9020
9218 Potranco Rd
Ste 105
San Antonio, TX 78251
Phone (210) 858-4001
9725 Datapoint Dr
San Antonio, TX 78229
Phone (210) 283-6800
9725 Datapoint Dr
#69
San Antonio, TX 78229
Phone (210) 283-6800
670 E Southlake Blvd
Southlake, TX 76092
Phone (817) 329-6466
Organizations & group practices 8
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1471824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704585600000",
"number": "1477008274",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 745",
"city": "BOERNE",
"state": "TX",
"postal_code": "780060745",
"telephone_number": "210-355-3551"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10003 NW MILITARY HWY STE 3111",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782311891",
"telephone_number": "210-355-3551"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREEN",
"first_name": "GEORGE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-08-22",
"last_updated": "2024-01-07",
"certification_date": "2024-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TX",
"license": "8993TG",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 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.