KELLY PATRICK GREEN (NPI# 1649230947) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649230947 |
| Entity Type | Individual |
| Full Name | KELLY PATRICK GREEN |
| Credential | O.D. |
| Practice Address |
7437 Burnet Rd Austin TX 78757-2244 |
| Mailing Address |
11801 Springs Head Loop Austin TX 78717-4418 |
| Practice Telephone | 5124517562 |
| Practice Fax Number | 5124517951 |
| Mailing Telephone | 5123310211 |
| Enumeration Date | 2006-03-23 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 6702T | TX | Eye and Vision Services Providers |
| N | 152W00000X | Optometrist | T03284 | MO | Eye and Vision Services Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013533728 | Kelly M Green | Dietitian, Registered | 12201 Stanfield Ct, Bowie, MD 20720-4439 | 2020-06-18 |
| 1093295263 | Kelly Green | Psychologist | 3535 Market St Ste 3037, Philadelphia, PA 19104-3313 | 2018-08-17 |
| 1558802975 | Kelly Green | Counselor | 15336 Devonshire St Unit 6, Mission Hills, CA 91345-2755 | 2017-03-18 |
| 1255887386 | Kelly Green | Physician Assistant | 1237 Shirehall Park Ln, Wake Forest, NC 27587-0601 | 2016-08-29 |
| 1730589565 | Kelly Green | Physical Therapist | 3014 Boaires Ln, Louisville, KY 40220-2428 | 2014-08-29 |
| 1467685107 | Kelly Elizabeth Green | Psychologist | 5524 Bee Caves Road, Suite G-2, Austin, TX 78746 | 2009-08-28 |
| 1437249547 | Kelly Ray Green | Pediatrics | 19087b Greeno Rd, Fairhope, AL 36532-3899 | 2006-10-13 |
| 1801803572 | Kelly Elaine Green | Social Worker | 1604 S W S Young Dr, Killeen, TX 76543-5003 | 2006-08-02 |
| 1346804721 | Kelly R Green | Case Manager/Care Coordinator | 2540 Billingsley Rd, Columbus, OH 43235-1990 | 2019-05-01 |
| 1235646274 | Kelly Michelle Green | Registered Nurse | 2409 Homer Clayton Dr, Guntersville, AL 35976-2207 | 2017-12-29 |
| Street Address |
7437 BURNET RD |
| City | AUSTIN |
| State | TX |
| Zip Code | 78757-2244 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407906274 | American Family Optical | Clinic/Center | 7437 Burnet Rd, Austin, TX 78757-2244 | 2007-01-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518518927 | Mark D Newberry | Pharmacist | 8500 Shoal Creek Blvd Bldg 3 Ste 200, Austin, TX 78757 | 2019-09-26 |
| 1972063634 | Napa Center Usa, LLC | Physical Therapist | 8640 Burnet Rd, Austin, TX 78757 | 2019-03-20 |
| 1013493071 | Anna Cathleen Mccormack | Pharmacist | 2525 W Anderson Lane Bldg 2, Austin, TX 78757 | 2018-07-12 |
| 1336633379 | Claire Siegel | Dietitian, Registered | 7421 Burnet Rd # 269, Austin, TX 78757 | 2018-06-21 |
| 1619372687 | Krishna Gc | Nurse Practitioner | 7950 Anderson Square Suite 108, 225, Austin, TX 78757 | 2014-11-03 |
| 1447669874 | Nicholas Dale Taylor | Psychologist | 8500 Shoal Creek Blvd Ste 201, Austin, TX 78757 | 2014-08-11 |
| 1396155404 | Onsite Chiropractic, Pllc | Chiropractor | 1929 Payton Gin Rd., Ste E, Austin, TX 78757 | 2014-04-29 |
| 1578994703 | Greentree Health Pain Management | Pain Medicine | 8900 Shoal Creek Bvld, Bldg 200, Austin, TX 78757 | 2013-12-13 |
| 1457692139 | Harbor Hospice of Georgetown, Lp | Hospice Care, Community Based | 7800 Shoal Creek Boulevard, Suite 105n, Austin, TEXAS 78757 | 2013-03-06 |
| 1821335852 | Janet Lee Cook | Acupuncturist | 8303 Shoal Creek Boulevard, Austin, TX 78757 | 2013-01-10 |
| Find all providers in zip 78757 | ||||
| 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 |
|---|---|---|---|---|
| 1992311880 | Eyecare of Austin, Pllc | Optometrist | 5621 N Interstate 35, Austin, TX 78723-2431 | 2020-09-16 |
| 1487266748 | Norin Ali | Optometrist | 1801 E 51st St Ste 360, Austin, TX 78723-3468 | 2020-08-18 |
| 1497366462 | Valeria Elizabeth Solis | Optometrist | 360 Nueces St Ste 70, Austin, TX 78701-4469 | 2020-08-13 |
| 1093324493 | Tien Pham | Optometrist | 1216 Dexford Dr, Austin, TX 78753-1602 | 2020-07-31 |
| 1073121463 | Vy Nguyen | Optometrist | 2205 N Shields Dr, Austin, TX 78727-4367 | 2020-07-21 |
| 1689297210 | Kayla Smith | Optometrist | 6836 Bee Caves Rd # 100, Austin, TX 78746-5059 | 2020-05-18 |
| 1699309773 | Modern Vision Group, Pllc | Optometrist | 3908 Far W Blvd, Austin, TX 78731 | 2020-02-27 |
| 1336792332 | Jimmy Yuan | Optometrist | 4825 Davis Ln Apt 538, Austin, TX 78749-4556 | 2019-07-18 |
| 1912567876 | Matheus M Ozbek | Optometrist | 2901 S Capital of Texas Hwy Ste F7, Austin, TX 78746-8118 | 2019-06-13 |
| 1073179891 | Tammy Phuong Nguyen | Optometrist | 5501 N Interstate 35 Ste B, Austin, TX 78723-2563 | 2019-05-16 |
| Find all providers in AUSTIN | ||||
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| 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.