MARY KELLY GREEN MD PLLC (NPI# 1689947509) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689947509 |
| Entity Type | Organization |
| Organization Name | MARY KELLY GREEN MD PLLC |
| Practice Address |
204 Gateway N Suite A Marble Falls TX 78654-6361 |
| Practice Telephone | 8306985868 |
| Practice Fax Number | 8307988017 |
| Mailing Telephone | 8306985868 |
| Mailing Fax Number | 8307988017 |
| Enumeration Date | 2012-02-23 |
| Last Update Date | 2012-02-24 |
| Authorized Official Name | MARY K. GREEN (OWNER) |
| Authorized Official Telephone | 8306935868 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 152W00000X | Optometrist | TX | Eye and Vision Services Providers | |
| Y | 207W00000X | Ophthalmology | TX | Allopathic & Osteopathic Physicians |
| 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 |
| Street Address |
204 GATEWAY N SUITE A |
| City | MARBLE FALLS |
| State | TX |
| Zip Code | 78654-6361 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487835617 | Mary Kelly Green | Ophthalmology | 204 Gateway N, Suite A, Marble Falls, TX 78654-6361 | 2007-11-15 |
| 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 |
| 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 |
| 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 |
| Find all providers in zip 78654 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942569421 | Pamela Christine Carter | Ophthalmology | 204 Gateway N Ste A, Marble Falls, TX 78654-6361 | 2012-05-03 |
| 1487835617 | Mary Kelly Green | Ophthalmology | 204 Gateway N, Suite A, Marble Falls, TX 78654-6361 | 2007-11-15 |
| 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 |
| 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 | ||||
| City | MARBLE FALLS |
| Zip Code | 78654 |
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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.