DR. LISA R GREEN (NPI# 1164402863) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164402863 |
| Entity Type | Individual |
| Full Name | DR. LISA R GREEN |
| Credential | O.D. |
| Practice Address |
2400 Hospital Rd Bldg 3 Tuskegee AL 36083 |
| Mailing Address |
2400 Hospital Rd Bldg 3 Tuskegee AL 36083-5001 |
| Practice Telephone | 3347253346 |
| Mailing Telephone | 3347253346 |
| Enumeration Date | 2006-01-19 |
| Last Update Date | 2019-10-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | S-A35-TA-588 | AL | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | 009903745 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 24810 Us Highway 31, Jemison, AL 350857876 | 2056881010 | 2056883802 |
| 300 Twining St Bldg 760, Montgomery, AL 361126027 | 3349539748 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558869529 | Lisa A Green | Nurse Practitioner | 50 Township Line Rd Bldg Suiteg01, Elkins Park, PA 19027-2249 | 2018-01-25 |
| 1316966047 | Lisa S. Green | Optometrist | 1180 N Court St Ste F, Circleville, OH 43113-1397 | 2006-07-19 |
| 1558349654 | Lisa Ann Green | Chiropractor | 1304 N University Dr, Coral Springs, FL 33071-6623 | 2006-01-09 |
| 1326678723 | Lisa Green | Case Management | 700 Cottage Brook Ln, Webster, NY 14580-8654 | 2020-01-24 |
| 1033779467 | Lisa H Green | Registered Nurse | 1102 Monroe St Sw, Huntsville, AL 35801-5029 | 2019-06-18 |
| 1558830596 | Lisa Green | Registered Nurse | 9846 Hwy 31 E, Tyler, TX 75705-2329 | 2018-11-20 |
| 1043795628 | Lisa Michelle Green | Counselor | 835 Mason St Ste B220, Dearborn, MI 48124-2262 | 2018-09-28 |
| 1306355797 | Lisa Diane Green | Nurse Practitioner | 650 W Lincoln Trail Blvd, Radcliff, KY 40160-2681 | 2017-09-28 |
| 1043739485 | Lisa Kay Green | Case Manager/Care Coordinator | 110 N Bailey Ave, North Platte, NE 69101-5436 | 2017-09-18 |
| 1396291159 | Lisa Green | Speech-Language Pathologist | 114 N Main St, Beebe, AR 72012-3046 | 2016-08-31 |
| Street Address |
2400 HOSPITAL RD BLDG 3 |
| City | TUSKEGEE |
| State | AL |
| Zip Code | 36083 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972698587 | Nguyet H Smith | Pharmacist | Central Alabama Veterans Health Care System, Pharmacy, 2400 Hospital Road, Tuskegee, AL 36083 | 2006-10-03 |
| 1619908795 | Carmen Elizabeth Beverly | Podiatrist | Cavhcs 2400 Hospital Rd, Dm Clinic, Tuskegee, AL 36083 | 2006-07-06 |
| 1275564635 | Tim Landers | Audiologist | 2400 Hospital Rd., Cavhcs - 126, Tuskegee, AL 36083 | 2006-07-05 |
| 1790726867 | Lasan Davis | Family Medicine | 203 West Lee Street, Tuskegee, AL 36083 | 2006-06-09 |
| 1831144344 | Denise Free Lensgraf-landers | Audiologist | Cavhcs Audiology (117), 2400 Hospital Road, Tuskegee, AL 36083 | 2006-05-23 |
| 1396705836 | Mark Patrick Mcguire | Optometrist | 2400 Hosptial Road, Eye Clinic Cavhcs, Tuskegee, AL 36083 | 2006-03-27 |
| 1265775936 | Shari Smith | Social Worker | 2400 Hospital Rd., Cavhcs- Social Work Services, Tuskegee, AL 36083 | 2013-04-01 |
| 1689902710 | Penny M Genous | Social Worker | 2400 Hospital Rd, Tuskegee, AL 36083 | 2009-12-01 |
| 1194954255 | Kevin Mcbeth Johnson | Student in an Organized Health Care Education/Training Program | 2400 Hospital Rd, Tuskegee, AL 36083 | 2009-07-10 |
| 1861638025 | Andrea Darmyka Steen | Social Worker | 2400 Hospital Road, Tuskegee, AL 36083 | 2008-12-18 |
| Find all providers in zip 36083 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780806653 | Robert Boyd Lewis Iv | Optometrist | 2400 Hospital Road (115-s), Cavhcs Eye Clinic, Tuskegee, AL 36083-5001 | 2007-05-02 |
| 1396705836 | Mark Patrick Mcguire | Optometrist | 2400 Hosptial Road, Eye Clinic Cavhcs, Tuskegee, AL 36083 | 2006-03-27 |
| 1891856043 | Charles Jerome Bell | Optometrist | 302 N Elm St, Tuskegee, AL 36083-1714 | 2006-12-12 |
| 1063572360 | Dr Charles J Bell and Associates | Optometrist | 302 N Elm St, Tuskegee, AL 36083-1714 | 2006-12-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487252920 | Pelham Eye Center LLC | Optometrist | 200 Canyon Park Dr, Pelham, AL 35124-4817 | 2020-10-16 |
| 1497360002 | Ian Maisonville | Optometrist | 3017 Indian Crest Dr, Pelham, AL 35124-4701 | 2020-09-10 |
| 1295340172 | National Vision Inc | Optometrist | 1107 Beltline Rd Se Ste C, Decatur, AL 35601-6556 | 2020-09-09 |
| 1417560418 | Blue Vision Center LLC | Optometrist | 2818 Lakeshore Pkwy, Birmingham, AL 35211-5500 | 2020-08-28 |
| 1932727120 | Justin Michael Kendall | Optometrist | 5850 A Us Hwy 431, Albertville, AL 35950 | 2020-07-14 |
| 1457978504 | Sadiksha Prasain | Optometrist | 616 Northmoor Ln, Homewood, AL 35209-6422 | 2020-07-05 |
| 1447875919 | Brookstone Optical LLC | Optometrist | 4760 Eastern Valley Rd Ste 132, Mc Calla, AL 35111-3460 | 2020-06-10 |
| 1952926776 | Mason Buckley Childers | Optometrist | 6020 Boll Weevil Cir, Enterprise, AL 36330-9420 | 2020-06-09 |
| 1023630985 | Southern Vision Eye Care | Optometrist | 308 6th St S Ste 105, Oneonta, AL 35121-1842 | 2020-05-14 |
| 1033745773 | Ashley Ott Od LLC | Optometrist | 21530 Professional Dr Ste D, Robertsdale, AL 36567-9911 | 2020-03-13 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. LISA R GREEN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.