| Richard A. Greene, O.d., P.a. | |
|
2225 A1a S, Suite C2, Saint Augustine, FL 32080-2916 | |
| (904) 471-8750 | |
| (904) 471-5996 |
| Full Name | Richard A. Greene, O.d., P.a. |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 2225 A1a S, Saint Augustine, Florida |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407151335 | NPI | - | NPPES |
| 1114039336 | Other | FL | INDIVIDUAL NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | FL1648 (Florida) | Primary |
| Provider Name | Richard Greene |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1114039336 PECOS PAC ID: 9830377365 Enrollment ID: I20110701000187 |
| Mailing Address | Practice Location Address |
|---|---|
| Richard A. Greene, O.d., P.a. 2225 A1a S, Suite C2, Saint Augustine, FL 32080-2916 Ph: (904) 471-8750 | Richard A. Greene, O.d., P.a. 2225 A1a S, Suite C2, Saint Augustine, FL 32080-2916 Ph: (904) 471-8750 |
Dr. Morgan Kickliter, Optometrist Medicare: Accepting Medicare Assignments Practice Location: 161 Hampton Point Dr Ste 3, Saint Augustine, FL 32092 Phone: 904-287-9137 Fax: 904-287-9057 | |
Gina Kubesh, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 161 Hampton Point Dr Ste 3, Saint Augustine, FL 32092 Phone: 904-204-3345 | |
Samantha Price, Optometrist Medicare: Accepting Medicare Assignments Practice Location: 161 Hampton Point Dr Ste 3, Saint Augustine, FL 32092 Phone: 904-287-9137 Fax: 904-287-9057 | |
Austin Taylor, OD Optometrist Medicare: Medicare Enrolled Practice Location: 1100 S Ponce De Leon Blvd Ste 4, Saint Augustine, FL 32084 Phone: 904-824-0212 | |
Frank W. Bowden, Iii, Md, Facs, Pa Optometrist Medicare: Not Enrolled in Medicare Practice Location: 206 Ashourian Ave Ste 215, Saint Augustine, FL 32092 Phone: 904-296-0098 Fax: 904-346-0559 | |
Jhaleil Phillips, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 161 Hampton Point Dr Ste 3, Saint Augustine, FL 32092 Phone: 904-287-9137 Fax: 904-287-9057 |