DR. THOMAS DALE GREENE (NPI# 1386138303) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386138303 |
| Entity Type | Individual |
| Full Name | DR. THOMAS DALE GREENE |
| Credential | OD |
| Practice Address |
1445 Christy Dr Ste A Jefferson City MO 65101-2853 |
| Practice Telephone | 5736595560 |
| Practice Fax Number | 5736595561 |
| Mailing Telephone | 5736595560 |
| Enumeration Date | 2018-06-22 |
| Last Update Date | 2019-12-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 2018021077 | MO | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | OPTOMETRIST LICENSE NUMBER MISSOURI | 2018021077 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184944068 | Thomas Harvey Greene IIi | Physician Assistant | 248 Ne Hancock Ave, Madison, FL 32340-2560 | 2010-06-02 |
| 1902934771 | Thomas F Greene | Dentist | 507 E Genesee St, Fayetteville, NY 13066-1536 | 2007-03-01 |
| 1437213626 | Thomas Earle Greene | Family Medicine | 496 South Dayton Street, Denver, CO 80247 | 2006-12-21 |
| 1124050588 | Thomas F Greene | Optometrist | 1445 Christy Dr Ste A, Jefferson City, MO 65101-2853 | 2006-07-07 |
| 1972539070 | Thomas William Greene | Optometrist | 501 E London St, Bowie, TX 76230-3020 | 2006-06-23 |
| 1275594871 | Thomas Greene | Physical Therapist | 100 Kissel Ave, Staten Island, NY 10310 | 2006-03-31 |
| 1386647725 | Thomas Lee Greene | Orthopaedic Surgery | 2727 W Dr Martin Luther King Jr Blvd, Ste 560, Tampa, FL 33607-6009 | 2005-05-31 |
| 1275181018 | Thomas Greene | Student in an Organized Health Care Education/Training Program | 1 College Hl, Canton, MO 63435-1257 | 2019-08-26 |
| 1124543020 | Thomas Greene | Taxi | 4751 Best Rd Ste 300, Atlanta, GA 30337-5600 | 2017-08-11 |
| 1952733693 | Thomas Francis Greene | Nurse Practitioner | 1101 Madison St, Suite 900, Seattle, WA 98104-1306 | 2013-08-05 |
| Street Address |
1445 CHRISTY DR STE A |
| City | JEFFERSON CITY |
| State | MO |
| Zip Code | 65101-2853 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124050588 | Thomas F Greene | Optometrist | 1445 Christy Dr Ste A, Jefferson City, MO 65101-2853 | 2006-07-07 |
| 1760776140 | Timothy C Hougland | Optometrist | 1445 Christy Dr Ste A, Jefferson City, MO 65101-2853 | 2011-06-03 |
| 1104924992 | Central Missouri Vision Center LLC | Optometrist | 1445 Christy Dr Ste A, Jefferson City, MO 65101-2853 | 2006-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619468527 | Lhcg Cxxxxiii, LLC | Home Health | 1125 Madison St Ste C, Jefferson City, MO 65101 | 2018-05-25 |
| 1396254629 | Lauren Mellon | Speech-Language Pathologist | 6124 Falcon Lane, Jefferson City, MO 65101 | 2017-09-29 |
| 1518375708 | Daven Nanda | Pharmacist | 2101 N Schotthill Woods Dr., Jefferson City, MO 65101 | 2014-07-31 |
| 1699183228 | Mark Nitz | Pharmacist | 2101 N Schotthill Dr, Jefferson City, MO 65101 | 2014-07-28 |
| 1386923472 | Lorinda Jo Leer | Occupational Therapist | 1403 Riverside Drive, Jefferson City, MO 65101 | 2011-08-08 |
| 1124334503 | Kimberly K Baumhoer | Hearing Instrument Specialist | 315 Ellis Blvd. Suite 202, Hearing Aid Consultants, Jefferson City, MO 65101 | 2010-08-24 |
| 1780867341 | Health Enhancements, P.C. | Family Medicine | 1739 Elm Court Plaza, Suite 106, Jefferson City, MO 65101 | 2007-12-06 |
| 1336364819 | Jerome Satorre | Occupational Therapist | 505 Ellis Blvd, Apt B20, Jefferson, MO 65101 | 2007-04-17 |
| 1326263450 | Bryan M. Pope, Dds Inc. | Dentist | 200 St. Mary's Medical Plaza, Suite 101, Jefferson City, MO 65101 | 2007-04-16 |
| 1104948769 | Kenneth Mark Skouby | Social Worker | 515a East Mccarty, Jefferson City, MO 65101 | 2007-04-04 |
| Find all providers in zip 65101 | ||||
| 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 |
|---|---|---|---|---|
| 1942510334 | Loftin Eyecare, LLC | Optometrist | 724 West Stadium Boulevard, # 029 Walmart Vision Center, Jefferson City, MO 65109 | 2010-10-19 |
| 1679887384 | Bret Allen Bodenhamer | Optometrist | 3238 W Truman Blvd, Jefferson City, MO 65109-5708 | 2010-08-05 |
| 1194994301 | Stephen Bencho | Optometrist | 124 W Old Andrew Johnson Hwy, Jefferson City, TN 37760-1945 | 2008-02-22 |
| 1093916223 | Kenneth Graham Crutchfield | Optometrist | 310 Kent St, Jefferson City, MO 65109-6107 | 2007-05-28 |
| 1134255243 | Frederick Earl Bodenhamer | Optometrist | 3238 West Truman Boulevard, Jefferson City, MO 65109-2936 | 2007-02-25 |
| 1124050588 | Thomas F Greene | Optometrist | 1445 Christy Dr Ste A, Jefferson City, MO 65101-2853 | 2006-07-07 |
| 1669441630 | Elizabeth Paige Hedgpath | Optometrist | 323 Monroe St, Jefferson City, MO 65101-3105 | 2006-03-14 |
| 1205803582 | Harold Eugene Morrill | Optometrist | 741 E Broadway Blvd, Jefferson City, TN 37760-4907 | 2006-03-04 |
| 1972582070 | Cherie Renee Archambeault | Optometrist | 630 E Broadway Blvd, Jefferson City, TN 37760-4900 | 2006-01-17 |
| 1972594224 | Mark A Manary | Optometrist | 2421 W Edgewood Dr, Ste A, Jefferson City, MO 65109-5844 | 2005-11-03 |
| Find all providers in JEFFERSON CITY | ||||
| City | JEFFERSON CITY |
| Zip Code | 65101 |
Please comment or provide details below to improve the information on DR. THOMAS DALE GREENE.
| 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.