DR. MARY KELLY GREEN


Address: 204 Gateway N, Suite A, Marble Falls, TX 78654-6361
Phone: 8306935868

DR. MARY KELLY GREEN (NPI# 1487835617) 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) 1487835617
Entity Type Individual
Full Name DR. MARY KELLY GREEN
Credential MD
Practice Address 204 Gateway N
Suite A
Marble Falls
TX 78654-6361
Practice Telephone 8306935868
Practice Fax Number 8307988017
Mailing Telephone 8306935868
Mailing Fax Number 8307988017
Enumeration Date 2007-11-15
Last Update Date 2012-05-16
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207W00000X Ophthalmology N1341 TX Allopathic & Osteopathic Physicians
N 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Other Provider Identifier

State Issuer Identifier Type Code
TX 2051849 05

Other Providers MARY GREEN

NPI Name Taxonomy Address Enumeration
1578173548 Mary Green Technician 1011 Patch St, Beckley, WV 25801-6837 2020-08-05
1003450388 Mary Elizabeth Green Licensed Practical Nurse 650 Highland Ave # 100, Winston Salem, NC 27101-4304 2019-10-30
1861049033 Mary Elizabeth Green Technician 9127 Rt240, West Valley, NY 14171 2019-08-22
1154827350 Mary Etosha Green Student in an Organized Health Care Education/Training Program One Medical Center Blvd Winston Salem, Winston Salem, NC 27157-0001 2018-04-05
1760860456 Mary Green Student in an Organized Health Care Education/Training Program 11655 Briar Forest Dr, 31, Houston, TX 77077-5023 2015-05-13
1073941415 Mary Fisher Green Physician Assistant 1120 15th St # Af-2044, Augusta, GA 30912-3040 2013-10-22
1790031441 Mary T Green Home Health Aide 2419 Adamsway Dr, Aurora, IL 60502-9076 2012-07-31
1659680569 Mary Elizabeth Green Social Worker 400 N Main St Ste 3, Manahawkin, NJ 08050-3730 2010-09-27
1689818411 Mary Sue Green Counselor 8150 Us Highway 287, Childress, TX 79201-7152 2009-04-23
1750524948 Mary O. Green Case Manager/Care Coordinator 7684 Greenridge Ct, Douglasville, GA 30134-3762 2009-04-17

Office Location

Street Address 204 GATEWAY N
SUITE A
City MARBLE FALLS
State TX
Zip Code 78654-6361

Providers in the same location

NPI Name Taxonomy Address Enumeration
1790050698 Mary Kelly Green Md Pllc Eyewear Supplier (Equipment, not the service) 204 Gateway N, Suite C, Marble Falls, TX 78654-6361 2012-03-12
1689947509 Mary Kelly Green Md Pllc Optometrist 204 Gateway N, Suite A, Marble Falls, TX 78654-6361 2012-02-23
1477886018 Theodore J. Felton Optometrist 204 Gateway N, Suite A, Marble Falls, TX 78654-6361 2009-09-15
1801039193 Kirby's Optical Eyewear Supplier (Equipment, not the service) 204 Gateway N, Suite C, Marble Falls, TX 78654-6361 2009-04-16
1700069457 Kirby Eye Center, Pa Optometrist 204 Gateway N, Suite A, Marble Falls, TX 78654-6361 2007-12-17

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1114581956 Alicia Rose Hutchison Audiologist 810 W Tx 71, Marble Falls, TX 78654 2019-04-26
1386105732 Sandi Sunny Physical Therapist 810 W.state Highway 71, Marble Falls, TX 78654 2019-03-28
1518464536 Jacob Keup Audiologist 304b Highlander Cir, Marble Falls, TX 78654 2018-04-06
1851835458 Laurence Robert Bower IIi Physiological Laboratory 2511 Us Highway 281, Ste 300, Marble Falls, TX 78654 2016-12-15
1366995235 Tavie Coyle Peters Nurse Practitioner 707 3rd Street, Marble Falls, TX 78654 2016-07-27
1184088015 Mark Dresselhouse Emergency Medicine 810 W Tx-71, Marble Falls, TX 78654 2016-04-06
1326413709 Angela Yvonne Hughes Occupational Therapist 810 W. Hwy 71, Marble Falls, TX 78654 2015-12-10
1548671894 Matthew F Mccarty Md Pllc Chiropractor 1710 Highway 1431, Marble Falls, TX 78654 2014-05-08
1538491386 Jerad M Howell Chiropractor 2300 Highway 281 North, Marble Falls, TX 78654 2010-02-04
1801052543 Logan Hyatt Stanley Dentist 800 Esperanza Avenue, Suite A, Marble Falls, TX 78654 2008-08-01
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Taxonomy Information

Taxonomy Code 207W00000X
Grouping Allopathic & Osteopathic Physicians
Classification Ophthalmology

Taxonomy Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1942569421 Pamela Christine Carter Ophthalmology 204 Gateway N Ste A, Marble Falls, TX 78654-6361 2012-05-03
1215989678 Edward Eugene Kirby Ophthalmology 204 Gateway North, Suite A, Marble Falls, TX 78654 2006-05-16
1235423849 Jonathan Hager Ophthalmology 800 W Highway 71, Marble Falls, TX 78654-8606 2011-06-01

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1215537402 Dr. Rachel Gelmans Vision P.a. Ophthalmology 5201 North G Street, Mcallen, TX 78504 2020-10-28
1922634294 Waco Ophthalmology, Pllc Ophthalmology 602 W Highway 6, Waco, TX 76712 2020-03-19
1962050492 Precision Ambulatory Surgery Center, LLC Ophthalmology 9439 North Beach Street, Fort Worth, TX 76244 2019-08-28
1275180135 Texas Eye Doctors, P.a. Ophthalmology 4501 Medical Center Dr Ste 300, Mckinney, TX 75069-6802 2019-08-23
1760036990 Ward Dittmar Heinrich Jr. Ophthalmology 3295 Lockhill Selma Rd, San Antonio, TX 78230-3024 2019-07-25
1265091300 Sheila Barbarino, Md Inc. Ophthalmology 1100 S Lamar Blvd Ste 2120, Austin, TX 78704-0380 2019-06-12
1487213872 Mann Eye Center, Pa Ophthalmology 1530 Sun City Blvd Ste 150, Georgetown, TX 78633-5353 2019-06-10
1609432210 J.w. Eye Associates, Pa Ophthalmology 11445 Dallas Pkwy Ste 290, Frisco, TX 75033-4257 2019-05-20
1376000737 Nadim Sami Nassif Ophthalmology 5150 Hidalgo St Unit 403, Houston, TX 77056-6409 2019-02-21
1073087706 Laser Sight, Lp Ophthalmology 6500 N Mo Pac Expy Ste 2101, Austin, TX 78731-3282 2019-01-16
Find all providers with the same taxonomy

Competitor

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City MARBLE FALLS
Zip Code 78654

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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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