Craig Roger Green, OD | |
260 E Main St, Jackson, OH 45640-1745 | |
(740) 286-5022 | |
(740) 286-7000 |
Full Name | Craig Roger Green |
---|---|
Gender | Male |
Speciality | Optometry |
Experience | 33 Years |
Location | 260 E Main St, Jackson, Ohio |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1699738294 | NPI | - | NPPES |
0457400001 | Other | OH | ADMINISTAR |
0862357 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 4282/T1346 (Ohio) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Craig R. Green, O.d. And Associates, Inc. | 1850324252 | 2 |
Provider Name | Craig R. Green, O.d. & Associates, Inc. |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1760444095 PECOS PAC ID: 1850324252 Enrollment ID: O20050915000978 |
Mailing Address | Practice Location Address |
---|---|
Craig Roger Green, OD 260 E Main St, Jackson, OH 45640-1745 Ph: (740) 286-5022 | Craig Roger Green, OD 260 E Main St, Jackson, OH 45640-1745 Ph: (740) 286-5022 |
Theodore William Nichting, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 260 East Main Street, Jackson, OH 45640 Phone: 740-286-5022 Fax: 740-286-7000 | |
Richard Harris Billman Ii, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 201 Columbia St, Jackson, OH 45640 Phone: 740-286-1419 Fax: 740-286-5546 | |
Richard Harris Billman Optometrist Medicare: Not Enrolled in Medicare Practice Location: 201 Columbia St, Jackson, OH 45640 Phone: 740-286-1419 Fax: 740-286-5546 | |
Edward C. Beiter, O.d. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 100 Walmart Dr, Vision Center, Jackson, OH 45640 Phone: 740-288-2718 Fax: 740-288-2720 | |
Craig R. Green, O.d. & Associates, Inc. Optometrist Medicare: Medicare Enrolled Practice Location: 260 East Main St, Jackson, OH 45640 Phone: 740-286-5022 Fax: 740-286-7000 | |
Practice Of Optometry Inc. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 731 E Main St, Jackson, OH 45640 Phone: 740-286-5554 Fax: 740-286-5554 |