DR. KENNETH H GREEN (NPI# 1659366375) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659366375 |
| Entity Type | Individual |
| Full Name | DR. KENNETH H GREEN |
| Credential | OD |
| Practice Address |
4040 W Kennedy Blvd Tampa FL 33609-2750 |
| Practice Telephone | 8132860433 |
| Practice Fax Number | 8132860498 |
| Mailing Telephone | 8132860433 |
| Mailing Fax Number | 8132860498 |
| Enumeration Date | 2005-09-19 |
| Last Update Date | 2008-11-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | OPC1473 | FL | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 078017100 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699310466 | Kenneth Leroy Green Jr. | Durable Medical Equipment & Medical Supplies | 7939 W Gulf To Lake Hwy, Crystal River, FL 34429-7931 | 2019-11-15 |
| 1366964462 | Kenneth Walter Green | Massage Therapist | 307 Rockmoor Dr, Georgetown, TX 78628-8983 | 2017-07-10 |
| 1972828895 | Kenneth James Green | Social Worker | 2505 W 71st St, Indianapolis, IN 46268-2344 | 2010-04-03 |
| 1083623367 | Kenneth E Green | Family Medicine | 1895 Elizabethtown Rd, Leitchfield, KY 42754-9138 | 2006-08-05 |
| 1427229194 | Kenneth Green | Social Worker | 408 S Broadview St, Cape Girardeau, MO 63703-5725 | 2008-03-20 |
| 1508802950 | Kenneth E Green | Surgery | 1025 New Moody Ln, La Grange, KY 40031-9154 | 2006-06-22 |
| 1245281716 | Kenneth Vincent Green | Social Worker | 102 Springhill Cir, Panama City, FL 32405-3546 | 2006-05-12 |
| 1649245614 | Kenneth Peter Green | Dentist | National Naval Medical Center, 8901 Wisconsin Avenue, Bethesda, MD 20889-0001 | 2006-02-22 |
| 1114909512 | Kenneth R. Green | Internal Medicine | 1304 Buckley Rd, Syracuse, NY 13212-4302 | 2005-11-19 |
| 1780680900 | Kenneth O Green | Ophthalmology | 111 W Lincoln St, Belleville, IL 62220-2019 | 2005-06-22 |
| Street Address |
4040 W KENNEDY BLVD |
| City | TAMPA |
| State | FL |
| Zip Code | 33609-2750 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194969907 | Family Eye Care of Westshore P.l. | Optometrist | 4040 W Kennedy Blvd, Tampa, FL 33609-2750 | 2009-04-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427521970 | Kampsen Hearing LLC | Audiologist | 310 South Macdill Avenue, Suite 202, Tampa, FL 33609 | 2019-01-08 |
| 1629557319 | Priscilla Luna-mitchum | Physical Therapist | 2700 W M.l.k Jr Blvd, Suite 300, Tampa, FL 33609 | 2018-08-13 |
| 1043735657 | Mary Elizabeth Osbach | Registered Nurse | 3211 W Swann Ave, Unit 1106, Tampa, FL 33609 | 2017-08-04 |
| 1497275317 | Jeilyn M Jimenez | Developmental Therapist | 550 N Reo Street, Tampa, FL 33609 | 2017-06-21 |
| 1033658513 | Adela Reeb | Specialist/Technologist | 909 North Dale Mabry Hwy, Tampa, FL 33609 | 2017-02-17 |
| 1033561261 | Abigail Marie Richardson | Developmental Therapist | 555 North Reo Street, Tampa, FL 33609 | 2016-07-12 |
| 1275992448 | Jennifer Stich | Behavioral Analyst | 3210 W De Leon St # B, Tampa, FL 33609 | 2016-02-16 |
| 1154711505 | Health E Systems, LLC | Transportation Broker | 5100 W. Lemon Street, Suite 311, Tampa, FL 33609 | 2015-01-23 |
| 1619375292 | Healthexchange Systems, LLC | Home Health | 5100 West Lemon Street, Suite 311, Tampa, FL 33609 | 2014-12-12 |
| 1538567458 | Calvin Harrison Iv | Occupational Therapist | 600 N. Westshore Blvd, Suite 600, Tampa, FL 33609 | 2014-12-09 |
| Find all providers in zip 33609 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396357240 | Myeyedr Optometry of Florida, LLC | Optometrist | 1108c S Dale Mabry Hwy, Tampa, FL 33629-5007 | 2020-08-21 |
| 1114539749 | National Vision Inc | Optometrist | 13620 University Plaza St, Tampa, FL 33613-4649 | 2020-08-17 |
| 1043821523 | Corinne Speight | Optometrist | 3201 S Dale Mabry Hwy Ste 105, Tampa, FL 33629-7800 | 2020-08-10 |
| 1922623461 | Joseph Gennaro Suriano | Optometrist | 5709 Johns Rd Ste 1209, Tampa, FL 33634-4315 | 2020-06-10 |
| 1760006449 | Chelsea Casaccia | Optometrist | 4407 W Vasconia St, Tampa, FL 33629-8325 | 2020-05-29 |
| 1124515705 | B&b Florida Eye Care Pllc | Optometrist | 8504 Citrus Park Dr, Tampa, FL 33625-3003 | 2018-04-18 |
| 1053808097 | Marianne Banales | Optometrist | 3030 N Rocky Point Dr W Ste 170, Tampa, FL 33607-7201 | 2018-04-16 |
| 1164935474 | Elevate Your Existence, LLC | Optometrist | 8150 Citrus Park Town Center Mall Spc 1100, Tampa, FL 33625-3181 | 2017-11-08 |
| 1952812497 | Newsom Eye & Laser Center, Inc. | Optometrist | 113 S Armenia Ave, Tampa, FL 33609-3307 | 2017-10-23 |
| 1235528134 | Matthew D. Helsing O.d., P.a. | Optometrist | 1108 S Dale Mabry Hwy, Suite C, Tampa, FL 33629-5007 | 2015-01-15 |
| Find all providers in TAMPA | ||||
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| 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.