Thomas Dale Greene (NPI# 1386138303, PAC ID# 9032455043) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1386138303 |
| PAC ID by PECOS | 9032455043 |
| Professional Enrollment ID | I20190111002918 |
| Full Name | Thomas Dale Greene |
| Organization Legal Name | CENTRAL MISSOURI VISION CENTER LLC |
| Address |
1445 Christy Dr A Jefferson City MO 65101-2853 |
| Phone Number | 5736595560 |
| Gender | M |
| Medical School | UNIVERSITY OF MISSOURI ST LOUIS - SCHOOL OF OPTOMETRY |
| Graduation Year | 2018 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 4183624893 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | M |
| Address | Phone | Organization |
|---|---|---|
| 1445 Christy Dr, A, Jefferson City, MO 65101-2853 | 5736595560 | CENTRAL MISSOURI VISION CENTER LLC |
| Organization Legal Name | CENTRAL MISSOURI VISION CENTER LLC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Thomas F Greene | Optometry | Central Missouri Vision Center LLC | 1445 Christy Dr, A, Jefferson City, MO 65101-2853 |
| Timothy C Hougland | Optometry | Central Missouri Vision Center LLC | 1445 Christy Dr, A, Jefferson City, MO 65101-2853 |
| Street Address |
1445 CHRISTY DR A |
| City | JEFFERSON CITY |
| State | MO |
| Zip | 65101-2853 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Thomas F Greene | Optometry | Central Missouri Vision Center LLC | 1445 Christy Dr, A, Jefferson City, MO 65101-2853 |
| Timothy C Hougland | Optometry | Central Missouri Vision Center LLC | 1445 Christy Dr, A, Jefferson City, MO 65101-2853 |
| Roy A Michael | Anesthesiology | Mid-missouri Anesthesia Consultants PC | 1445 Christy Dr, Jefferson City, MO 65101-2853 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joyce Wilson | Hand Surgery | Jefferson City Medical Group PC | 1225 W Stadium Blvd, Jefferson City, MO 65101 |
| Michael Snyder | Orthopedic Surgery | Jefferson City Medical Group PC | 1225 W Stadium Blvd, Jefferson City, MO 65101 |
| Jonathan M Craighead | Orthopedic Surgery | Jefferson City Medical Group PC | 1225 W Stadium Blvd, Jefferson City, MO 65101 |
| Mauricio J Pasquale | Physician Assistant | Jefferson City Medical Group PC | 1225 W Stadium Blvd, Jefferson City, MO 65101 |
| Matthew M Ragsdell | Orthopedic Surgery | Jefferson City Medical Group PC | 1225 W Stadium Blvd, Jefferson City, MO 65101 |
| Bradley S Sloan | Family Medicine | Jefferson City Medical Group PC | 1225 W Stadium Blvd, Jefferson City, MO 65101 |
| John J Krautmann | Orthopedic Surgery | Jefferson City Medical Group, PC | 1225 W Stadium Blvd, Jefferson City, MO 65101 |
| Alicia D Barnes | Clinical Social Worker | 718 W Macarty St, Jefferson City, MO 65101-1544 | |
| Jacqueline R Henry | Psychologist, Clinical | 718 W Macarty St, Jefferson City, MO 65101-1544 | |
| Danielle R Schwartz | Speech Language Pathologist | 1908 Whitney Woods Dr, Jefferson City, MO 65101-2386 | |
| Find all physicians in zip 65101 | |||
| City | JEFFERSON CITY |
| Zip Code | 65101 |
| Specialty | OPTOMETRY |
| City + Specialty | JEFFERSON CITY + OPTOMETRY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.