Danny Latrell Green, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

745 Issued in MS

Practice address

4253 Robinson St
Jackson, MS 39209-6530

Phone

(601) 922-9272

NPI assigned

Jun 8, 2006

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

Medicare fee-for-service enrollment

Enrolled in MS

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

Southern College of Optometry, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

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.

• Healthy Eyes Family Vision Center LLC

  • Optometrist
  • Jackson, MS
  • NPI 1316173842
  Medicare reassignment NPD Authorized official
• Canton Vision Clinic, P.a.

  • Optometrist
  • Canton, MS
  • NPI 1174607477
  NPD (past)
• Madison Professional Eyecare Associates, Inc

  • Optometrist
  • Madison, MS
  • NPI 1144304460
  NPD (past)
• Magnolia Dermatology, PLLC

  • Dermatology Physician
  • Clinton, MS
  • NPI 1841645470
  NPD (past)
• Optical 2000

  • Optometrist
  • Clinton, MS
  • NPI 1144422577
  NPD (past)
• Optical 2000 of Flora PA

  • Optometrist
  • Flora, MS
  • NPI 1447794797
  NPD (past)
• Wright Family Vision LLC

  • Optometrist
  • Jackson, MS
  • NPI 1962652784
  NPD (past)

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550534400000",
    "number": "1982644597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6030 WOODLEA RD",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392062143",
            "telephone_number": "601-922-9272",
            "fax_number": "601-922-8252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4253 ROBINSON ST",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392096530",
            "telephone_number": "601-922-9272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "DANNY",
        "middle_name": "LATRELL",
        "name_prefix": "Mr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-08",
        "last_updated": "2019-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MS",
            "license": "745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anthony Green
• April Lakeshia Green, NP
• Barbara Green, NURSE PRACTITIONER
• Caroline V Green, FNP-C
• Dacia Lyn Green
• Deshauntra Green
• Edward Green, MD
• Ely Anthony Green, OTA/L
• Flora K. Green, AGPCNP
• Jennifer Green

• Optometrist in Jackson, MS
• Providers in Jackson, MS by specialty
• Optometrist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2019; 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.