DR. GREGORY CHAD GREEN (NPI# 1689665101) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689665101 |
| Entity Type | Individual |
| Full Name | DR. GREGORY CHAD GREEN |
| Credential | O.D. |
| Practice Address |
1401 Us Highway 80 W Demopolis AL 36732-4127 |
| Practice Telephone | 3342890466 |
| Practice Fax Number | 3342895588 |
| Mailing Telephone | 3342890466 |
| Mailing Fax Number | 3342895588 |
| Enumeration Date | 2005-11-03 |
| Last Update Date | 2010-12-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | S773TA219 | AL | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | 009958395 | 05 | |
| AL | 009958385 | 05 | |
| AL | PALMETTO BUTLER OFFICE | 5259550001 | 01 |
| AL | RAILROAD MEDICARE | P00220332 | 01 |
| AL | PALMETTO DEMOPOLIS OFFICE | 5259550002 | 01 |
| AL | DEA | MG0985210 | 01 |
| AL | BCBS OF ALABAMA | 51526697 | 01 |
| AL | BCBS OF ALABAMA | 51522197 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699318303 | Gregory Allen Green | Nurse Practitioner | 2246 Rocky Face Cir, Dalton, GA 30720-2946 | 2019-10-25 |
| 1033430145 | Gregory Green | Chiropractor | 1214 W 43rd St, Suite 400, Houston, TX 77018-4235 | 2010-06-14 |
| 1285875534 | Gregory E. Green Sr. | Physician Assistant | 2000 Nw 119th St Apt 903, Miami, FL 33167-2746 | 2009-03-17 |
| 1144405663 | Gregory Green | Chiropractor | 201 E Airport Dr, Suite B, San Bernardino, CA 92408-3403 | 2008-01-03 |
| 1366532095 | Gregory Eugene Green | Dentist | 500 Crescent St, Menomonie, WI 54751-1829 | 2006-10-13 |
| 1093737819 | Gregory Roper Green | Family Medicine | 2600 Tower Dr Ste 106, Monroe, LA 71201-5783 | 2006-07-24 |
| 1780673525 | Gregory G Green | Psychiatry & Neurology | 376 Apple Ave, Suite 307, Muskegon, MI 49442-3466 | 2005-10-14 |
| 1619976982 | Gregory V Green | Orthopaedic Surgery | 3435 Ne Loop 286, Paris, TX 75460-5002 | 2005-07-19 |
| Street Address |
1401 US HIGHWAY 80 W |
| City | DEMOPOLIS |
| State | AL |
| Zip Code | 36732-4127 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003438904 | Taylor Phillips | Optometrist | 1401 Us Highway 80 W, Demopolis, AL 36732-4127 | 2020-05-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790336196 | Preferred Eye Care LLC | Optometrist | 931 Highway 80 West, Suite A, Demopolis, AL 36732 | 2019-09-26 |
| 1215454517 | Braxton Senior Care | Day Training/Habilitation Specialist | 307 South Cherry Avenue, Demopolis, AL 36732 | 2017-08-28 |
| 1699206060 | Jamie Lynn Tucker | Pharmacist | 1107 Lillian Lane, Demopolis, AL 36732 | 2017-03-27 |
| 1578717021 | Sheila Bouler Pfaffman | Counselor | 409 North Walnut Avenue, Demopolis, AL 36732 | 2008-11-11 |
| 1609072537 | Southeast Cancer Network, Inc | Internal Medicine | 105 Highway 80 E., Demopolis, AL 36732 | 2007-06-26 |
| 1720102387 | Drs. Ketcham and Dismukes | Durable Medical Equipment & Medical Supplies | 202 Hwy 80 E, Demopolis, AL 36732 | 2007-03-19 |
| 1942356472 | Dana Eddins | Speech-Language Pathologist | 1400 Herbert St, Demopolis, AL 36732 | 2007-01-26 |
| 1083785182 | Mary Juanita Shakes | Social Worker | 205 Herbert Street, Demopolis, AL 36732 | 2006-11-11 |
| 1114006848 | Rural Health Medical Program, Inc | Clinic/Center | 1502 Highway 80 East, Unit A, Demopolis, AL 36732 | 2006-11-03 |
| 1518051788 | Judy Cooke Travis | Emergency Medicine | 123 East Capitol Street, Demopolis, AL 36732 | 2006-10-03 |
| Find all providers in zip 36732 | ||||
| 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 |
|---|---|---|---|---|
| 1790336196 | Preferred Eye Care LLC | Optometrist | 931 Highway 80 West, Suite A, Demopolis, AL 36732 | 2019-09-26 |
| 1104971803 | Selma Family Practice Optometry, Inc. | Optometrist | 1502 Highway 80e, Suite A, Demopolis, AL 36732-0799 | 2007-01-24 |
| 1720152739 | Gregory Chad Green Od | Optometrist | 1401 Us Highway 80 West, Demopolis, AL 36732-4127 | 2006-11-20 |
| 1295743144 | Joe Harold Bailey | Optometrist | 1401 Highway 80 West, Demopolis, AL 36732-4127 | 2006-08-04 |
| 1003438904 | Taylor Phillips | Optometrist | 1401 Us Highway 80 W, Demopolis, AL 36732-4127 | 2020-05-13 |
| 1437579000 | Icare LLC | Optometrist | 969 Us Highway 80 W, Demopolis, AL 36732-4102 | 2014-04-22 |
| 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 | ||||
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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.