Joseph A. Green, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OEG 000189 Issued in PA

Practice address

1513 Scalp Ave
Suite 280
Johnstown, PA 15904-3331

Phone

(814) 266-7611

Fax

(814) 266-3532

NPI assigned

Feb 10, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

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

Specialty

Optometry

Education

Pennsylvania College of Optometry, 1976

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Johnstown Family Vision and Hearing IncGroup PAC ID 7315011269, 2 clinicians

Practice addresses (Care Compare)

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 and National Provider Directory roles.

• Johnstown Family Vision & Hearing Inc

  • Optometrist
  • Johnstown, PA
  • NPI 1952487654
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1139529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196380800000",
    "number": "1942273891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1513 SCALP AVE",
            "address_2": "SUITE 280",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159043331",
            "telephone_number": "814-266-7611",
            "fax_number": "814-266-3532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1513 SCALP AVE",
            "address_2": "SUITE 280",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159043331",
            "telephone_number": "814-266-7611",
            "fax_number": "814-266-3532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "JOSEPH",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-10",
        "last_updated": "2007-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG 000189",
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "PA",
            "license": "OEG 000189",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0014035280001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gray Skies Blue LLC
• Cory Gray, D.O.
• Deborah Lynn Gray, CRNP
• Greater Johnstown Area Vocational-Technical School
• Greater Johnstown School District
• Kevin Joseph Green, P.A
• Richard Joseph Green III, M.D.
• Sara Greenwood, PA-C
• Amy Claire Greer, AU.D.
• George Gress, DMD

• Optometrist in Johnstown, PA
• Providers in Johnstown, PA by specialty
• Optometrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2007; 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.

Verify at the official NPI Registry.