DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KELLY PATRICK GREEN, O.D.

Active Sole Proprietor

KELLY PATRICK GREEN, O.D. is a Optometrist healthcare provider located in AUSTIN, Texas. NPI 1649230947 is currently active in the NPPES registry. Verify at CMS.

Optometrist · AUSTIN, TX

Registration Details

NPI Number
1649230947
Provider Type
Individual
Gender
Male
NPI Issued
Mar 23, 2006 (20.384754776446 yrs)
Last Updated
Jul 8, 2007
Licenses
T03284 (MO)
6702T (TX)
Sole Proprietor
Yes

Practice Information

Address
7437 BURNET RD
AUSTIN, TX, 787572244
Browse TX providers · Browse ZIP 78757
Phone
5124517562
Fax
5124517951
Primary Specialty
Optometrist
152W00000X
Additional Specialty
Optometrist

Other Optometrist Providers in AUSTIN, TX

Name Credential NPI
DR. HONOUR L CESSAC OD 1417950759
DR. NANCY PREVOST O.D. 1770588964
EMIL B FADEL O.D. 1972509164
DR. THI TRUONG LE O.D. 1124025911
WILLIAM E MCCALEB M.D. 1184622649
MITCHEL WONG MD 1659379204
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.