Diana Rose Green, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

4858 Issued in MA

Practice address

11 Nevins St Ste 205
Brighton, MA 02135-3514

Phone

(617) 783-5050

Fax

(617) 783-0734

NPI assigned

Jul 21, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MA

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

New England College of Optometry, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Charles River Community Health, IncGroup PAC ID 5294709812, 33 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: dgreen49660@direct.ctc.masshiway.net

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.

• Charles River Community Health Inc

  • Federally Qualified Health Center (FQHC)
  • Brighton, MA
  • NPI 1487664884
  Medicare reassignment Care Compare group NPD
• Charles River Community Health, Inc

  • Federally Qualified Health Center (FQHC)
  • Allston, MA
  • NPI 1134306368
  NPD
• Charles River Community Health, Inc

  • Federally Qualified Health Center (FQHC)
  • Waltham, MA
  • NPI 1750486106
  NPD
• Family Eye Care, Inc.

  • Optometrist
  • Worcester, MA
  • NPI 1073674446
  NPD (past)
• Family Eye Care, Inc.

  • Optometrist
  • Spencer, MA
  • NPI 1245652866
  NPD (past)

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

{
    "created_epoch": "1311206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775779200000",
    "number": "1982992145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 WASHINGTON ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021111552",
            "telephone_number": "617-636-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 NEVINS ST STE 205",
            "city": "BRIGHTON",
            "state": "MA",
            "postal_code": "021353514",
            "telephone_number": "617-783-5050",
            "fax_number": "617-783-0734"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "495 Western Ave",
            "address_purpose": "LOCATION",
            "city": "Brighton",
            "state": "MA",
            "postal_code": "021351007",
            "country_code": "US",
            "telephone_number": "617-783-0500",
            "fax_number": "617-562-1398",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREEN",
        "first_name": "DIANA",
        "middle_name": "ROSE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-21",
        "last_updated": "2026-04-10",
        "certification_date": "2026-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "4858",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110090817/A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Susan Graf, RPH
• Dana Gramolini, MD
• Greater Boston Chinese Golden Age Center, Inc.
• Greater Boston Patient Care, LLC
• Greater Boston Wellness Group
• Jonna Green, LICSW
• Richard Green
• Danielle Nycole Greenaway, LPN
• Greenleaf Pharmacy LLC
• Greenleaf Pharmacy LLC LTC

• Optometrist in Brighton, MA
• Providers in Brighton, MA by specialty
• Optometrist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2026; 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.