Gregory Chad Green OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

S-773-TA-219 Issued in AL

Legal business name

GREGORY CHAD GREEN OD

Doing business as

Green Family Eye Care

Practice address

1401 US Highway 80 West
Demopolis, AL 36732-4127

Phone

(334) 289-0466

Fax

(334) 289-5588

NPI assigned

Nov 20, 2006

Last updated

Jul 14, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. G Chad Green, O.D.

Title

Owner

Phone

(334) 289-0466

Specialties & licenses 1

Addresses

Other names 1

• Green Family Eye Care Doing business as

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Gregory Chad Green, OD, PC

  dba VisualEyes - Fayette

  • Optometrist
  • Fayette, AL
  • NPI 1326779968

  O20040728001167

  Same enrollment
• Gregory Chad Green, OD, PC

  dba VisualEyes

  • Optometrist
  • Tuscaloosa, AL
  • NPI 1891144259

  O20040728001167

  Same enrollment

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Gregory Chad Green OD3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Gregory Chad Green, OD, PC

  dba VisualEyes - Fayette

  • Optometrist
  • Fayette, AL
  • NPI 1326779968
  NPD tax ID
• Gregory Chad Green, OD, PC

  dba VisualEyes

  • Optometrist
  • Tuscaloosa, AL
  • NPI 1891144259
  NPD tax ID

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Brooke Hubbard Clackley, OD

  • Optometrist
  • Oneonta, AL
  • NPI 1154003903
  Medicare reassignment NPD
• Gregory Chad Green, O.D.

  • Optometrist
  • Demopolis, AL
  • NPI 1689665101
  Medicare reassignment NPD
• Taylor Phillips, OD, MBA

  • Optometrist
  • Demopolis, AL
  • NPI 1003438904
  Medicare reassignment NPD

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657756800000",
    "number": "1720152739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 US HIGHWAY 80 WEST",
            "city": "DEMOPOLIS",
            "state": "AL",
            "postal_code": "367324127",
            "telephone_number": "334-289-0466",
            "fax_number": "334-289-5588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 US HIGHWAY 80 WEST",
            "city": "DEMOPOLIS",
            "state": "AL",
            "postal_code": "367324127",
            "telephone_number": "334-289-0466",
            "fax_number": "334-289-5588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREGORY CHAD GREEN OD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-20",
        "last_updated": "2022-07-14",
        "certification_date": "2022-07-14",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "G CHAD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "334-289-0466",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "AL",
            "license": "S-773-TA-219",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Green Family Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Genesis Rehabilitation, Inc. Dba Fyzical Therapy and Balance Center
• Laura E Glass, CRNP
• Susan Grayson
• Gregory Chad Green, O.D.
• John C Green, D.M.D.
• Hair Designs & Restoration Center LLC
• Kelly McClellan Hall, CRNP
• Haven of Hope Counseling, LLC
• Trameika M. Hawkins, PHARM D.
• HC Healthcare, LLC

• Optometrist in Demopolis, AL
• Providers in Demopolis, AL by specialty
• Optometrist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.