Malcolm and Martin Greene OD Partners

Primary specialty

OptometristTaxonomy code 152W00000X

License

3428 Issued in MA

Legal business name

MALCOLM AND MARTIN GREENE OD PARTNERS

Practice address

31 Spring St
Watertown, MA 02472-3473

Phone

(617) 924-3343

NPI assigned

Nov 2, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Martin J Greene, O.D.NPI 1154354025

Title

Optometrist

Phone

(617) 924-3343

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Martin J Greene, OD

  • Optometrist
  • Watertown, MA
  • NPI 1154354025
  Medicare reassignment NPD Authorized official
• Malcolm Richard Greene, O.D.

  • Optometrist
  • Watertown, MA
  • NPI 1649264318
  Medicare reassignment NPD
• Allison Diane Wasz

  • Optometrist
  • Chandler, AZ
  • NPI 1841034808

  MA

  Medicare reassignment NPD

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234915200000",
    "number": "1831277185",
    "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"
        },
        {
            "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MALCOLM AND MARTIN GREENE OD PARTNERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-02",
        "last_updated": "2009-02-18",
        "status": "A",
        "authorized_official_last_name": "GREENE",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "617-924-3343",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MA",
            "license": "3428",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9778349",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brianne M Mahoney, M.D.
• Rebecca Maikels, BCBA
• Main Street Chiropractic
• Main Street Chiropractic, LLC
• Sevan Makhoulian, PH.D.
• Samantha Rose Manero, MS, RD, LDN
• Talia Mango
• Anastasia Maniatis
• Alexander Manjounes
• Sara Mannix, NP

• 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 Feb 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.