Malcolm Richard Greene, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

2219 Issued in MA

Practice address

31 Spring St
Watertown, MA 02472-3473

Phone

(617) 924-3343

Fax

(617) 926-6634

NPI assigned

Sep 8, 2005

Last updated

Apr 13, 2009By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MA

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Malcolm and Martin Greene OD Partners

  • Optometrist
  • Watertown, MA
  • NPI 1831277185
  Medicare reassignment NPD

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

{
    "created_epoch": "1126137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1239580800000",
    "number": "1649264318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 SPRING ST",
            "city": "WATERTOWN",
            "state": "MA",
            "postal_code": "024723473",
            "telephone_number": "617-924-3343",
            "fax_number": "617-926-6634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 SPRING ST",
            "city": "WATERTOWN",
            "state": "MA",
            "postal_code": "024723473",
            "telephone_number": "617-924-3343",
            "fax_number": "617-926-6634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENE",
        "first_name": "MALCOLM",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-08",
        "last_updated": "2009-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "2219",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0306754",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hilary Graham, LMHC
• Juan Jose Graham, DMD
• Greater Boston Nutrition LLC
• Kimberly Grebert, LICSW
• Jeffrey O Greenberg, M.D.
• Martin J Greene, OD
• Wendy B Greenhalgh, BCBA
• Blake Grider
• Gina Lisa Fugazzotto Griffin, M.S.
• Adrian Gropper, M.D.

• Optometrist in Watertown, MA
• Providers in Watertown, MA by specialty
• Optometrist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2009; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.