NATHAN GREEN O.D., P.C.


Address: 1818 S 300 W, Salt Lake City, UT 84115-1805
Phone: 8014859757

NATHAN GREEN O.D., P.C. (NPI# 1477735710) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1477735710
Entity Type Organization
Organization Name NATHAN GREEN O.D., P.C.
Practice Address 1818 S 300 W
Salt Lake City
UT 84115-1805
Practice Telephone 8014859757
Practice Fax Number 8014858867
Mailing Telephone 8014859757
Mailing Fax Number 8014858867
Enumeration Date 2007-11-28
Last Update Date 2007-11-28
Authorized Official Name DR. NATHAN RAY GREEN (PRESIDENT)
Authorized Official Telephone 8014859757
Authorized Official Credential OD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 152W00000X Optometrist 5340358-9934 UT Eye and Vision Services Providers

Office Location

Street Address 1818 S 300 W
City SALT LAKE CITY
State UT
Zip Code 84115-1805

Providers in the same location

NPI Name Taxonomy Address Enumeration
1821076555 Nathan Ray Green Optometrist 1818 S 300 W, Salt Lake City, UT 84115-1805 2006-01-03
1952810731 Salt Lake City Eye Care, LLC Optometrist 1818 S 300 W, Salt Lake City, UT 84115-1805 2017-09-25
1972022275 Julie Phan Pharmacist 1818 S 300 W, Salt Lake City, UT 84115-1805 2017-09-18
1427442037 Costco Wholesale Corporation Hearing Aid Equipment 1818 S 300 W, Salt Lake City, UT 84115-1805 2015-03-20
1285025569 Costco Wholesale Corporation Eyewear Supplier (Equipment, not the service) 1818 S 300 W, Salt Lake City, UT 84115-1805 2015-02-09
1649603572 Jedidiah David Smith Optometrist 1818 S 300 W, Salt Lake City, UT 84115-1805 2013-08-14
1497039945 Bruce Hodgdon Pharmacist 1818 S 300 W, Salt Lake City, UT 84115-1805 2011-10-03
1780975649 John Heath Pharmacist 1818 S 300 W, Salt Lake City, UT 84115-1805 2011-04-27
1285778753 Dwayne Freebairn Pharmacist 1818 S 300 W, Salt Lake City, UT 84115-1805 2007-02-17
1356451983 Costco Wholesale Corporation Pharmacy 1818 S 300 W, Salt Lake City, UT 84115 2006-08-30
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1396344198 Shannon Ballinger Clinic/Center 1470 400 W, Salt Lake City, UT 84115 2020-10-22
1992346704 Anicka Inc Clinic/Center 3195 South Main St, Ste 260, South Salt Lake, UT 84115 2019-10-02
1083177505 Vitor Gabriel Giuliani Alcantara Carioca Specialist/Technologist 1850 South Campus Drive, Salt Lake City, UT 84115 2019-04-11
1427528371 Samuel James Leonhart Behavior Technician 354 East Coatsville Drive, Salt Lake City, UT 84115 2018-12-04
1093228645 Eco Pharmacy LLC Pharmacy 3702 S State Street Suite 115, South Salt Lake City, UT 84115 2017-11-06
1568973055 Eco Apothecary LLC Pharmacy 3701 S State Street Suite 114, South Salt Lake City, UT 84115 2017-10-24
1548780455 Kelly Lund Case Manager/Care Coordinator 447 W. Bearcat Dr., Salt Lake City, UT 84115 2017-06-21
1104271238 The Church of Philadelphia Inc. Community/Behavioral Health 2358 South Main Street, Salt Lake City, UT 84115 2016-04-26
1710368626 Jennifer Swanhild Edwards Counselor 140 W 2100 S Ste 244, Salt Lake City, UT 84115 2015-06-16
1508247065 John Mcguire Health Educator 1370 S. West Temple, Salt Lake City, UT 84115 2015-06-10
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Taxonomy Information

Taxonomy Code 152W00000X
Grouping Eye and Vision Services Providers
Classification Optometrist

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1013532894 Meagan Miles Optometrist 1752 W 400 N Apt B, Salt Lake City, UT 84116-3546 2020-06-08
1811558554 Ryan Garber Optometrist 500 Foothill Dr Salt Lake City Ut 84148, Salt Lake City, UT 84148-0001 2019-06-24
1346703766 National Vision Inc Optometrist 1140 E Brickyard Rd Ste 23, Salt Lake City, UT 84106-2557 2019-04-11
1831664580 Rocky Mountain Optical and Eye Care LLC Optometrist 4400 S 700 E Ste 160, Salt Lake City, UT 84107-3053 2018-10-09
1891216909 Stephen Nicholas Lundquist Optometrist 801 S 800 E, Salt Lake City, UT 84102-3515 2017-06-28
1831546118 Jeffrey Lynn Simmons Optometrist 1919 E Brighton Ridge Dr, Salt Lake City, UT 84121-4886 2016-05-17
1679953400 Wendy Nguyen Optometrist 500 Foothill Drive Salt Lake City, Salt Lake City, UT 84148-0001 2015-06-07
1780063784 Kaeleen Franson Optometrist 250 S 300 E, Salt Lake City, UT 84111-2502 2015-05-22
1942437058 Michael S Peterson, Od, PC Optometrist 1553 Gregson Ave, Salt Lake City, UT 84106-3419 2009-06-16
1427241843 Paul C Bruderer Od, PC Optometrist 339 E 3900 S, Suite 150, Salt Lake City, UT 84107-1677 2007-08-20
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Competitor

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City SALT LAKE CITY
Zip Code 84115

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Dataset Information

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.

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