| Green Family Eye Care | |
|
1401 Us Highway 80 West, Demopolis, AL 36732-4127 | |
| (334) 289-0466 | |
| (334) 289-5588 |
| Full Name | Green Family Eye Care |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 1401 Us Highway 80 West, Demopolis, Alabama |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720152739 | NPI | - | NPPES |
| 529920020 | Medicaid | AL | |
| 01D1083392 | Other | AL | CLIA ID NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | S-773-TA-219 (Alabama) | Primary |
| Provider Name | Gregory Chad Green |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1689665101 PECOS PAC ID: 3375513294 Enrollment ID: I20040806000390 |
| Provider Name | Taylor Phillips |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1003438904 PECOS PAC ID: 0941610950 Enrollment ID: I20201103001184 |
| Mailing Address | Practice Location Address |
|---|---|
| Green Family Eye Care 1401 Us Highway 80 West, Demopolis, AL 36732-4127 Ph: (334) 289-0466 | Green Family Eye Care 1401 Us Highway 80 West, Demopolis, AL 36732-4127 Ph: (334) 289-0466 |
Taylor Phillips, OD, MBA Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1401 Us Highway 80 W, Demopolis, AL 36732 Phone: 334-289-0466 | |
Eyemax Vision Center Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1502 Highway 80e, Suite A, Demopolis, AL 36732 Phone: 334-289-1008 Fax: 334-289-1009 | |
Icare Llc Optometrist Medicare: Medicare Enrolled Practice Location: 969 Us Highway 80 W, Demopolis, AL 36732 Phone: 334-289-9524 | |
Dr. Gregory Chad Green, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1401 Us Highway 80 W, Demopolis, AL 36732 Phone: 334-289-0466 Fax: 334-289-5588 | |
Preferred Eye Care Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 931 Highway 80 West, Suite A, Demopolis, AL 36732 Phone: 334-878-2020 Fax: 334-878-2025 |