Individual provider Active NPI

Matthew T Greene, OD

  • Optometrist
  • College Station, TX
National Provider Identifier
1871608943
Registry record updated Aug 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5726TG Issued in TX
Practice address
3711 Meadow View Dr
College Station, TX 77845-7327
Phone
(979) 690-0888
NPI assigned
Aug 20, 2006
Last updated
Aug 27, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 5726TG TX Primary

Addresses

Primary practice location

3711 Meadow View Dr
College Station, TX 77845-7327

Mailing address

4081 State Hwy 6 South
Ste 301
College Station, TX 77845
Phone (979) 690-0888

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081115000055 TX Practitioner - Optometry 2961562319 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Urban Optics PLLCGroup PAC ID 7012156656, 3 clinicians

Practice addresses (Care Compare)

4075 State Hwy 6 S
Suite 100
College Station, TX 77845-8963
Phone (979) 690-0888

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery13

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Clara Vista Eyecare Optometrist CurrentSince Sep 16, 2023 Accepting new patients
Urban Optics, PLLC CurrentSince Sep 1, 2012 Accepting new patients
JMC Worldwide PLLC Optometrist CurrentSince Sep 25, 2022 Accepting new patients

Locations

4075 State Highway 6 S
#100
College Station, TX 77845
Phone (979) 690-0888

4081 State Highway 6 S
Ste 301
College Station, TX 77845
Phone (979) 690-0888

19792 Highway 105 W
Ste 300
Montgomery, TX 77356
Phone (936) 220-4313

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346025600000",
    "number": "1871608943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4081 STATE HWY 6 SOUTH",
            "address_2": "STE 301",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "77845",
            "telephone_number": "979-690-0888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3711 MEADOW VIEW DR",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778457327",
            "telephone_number": "979-690-0888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENE",
        "first_name": "MATTHEW",
        "middle_name": "T",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-20",
        "last_updated": "2012-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "5726TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in College Station, TX

Sources for this page

Verify at the official NPI Registry.