National Provider Identifier Database

GARY H GREENE, OD – NPI #1568454155
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.


Contact Information

GARY H GREENE, OD
3450 N GLASSFORD HILL RD STE E
PRESCOTT VALLEY, AZ86314-1351
Phone: 928-499-3152
Fax:
Website:
Specialty Taxonomy Code
* Optometrist 152W00000X
Corneal and Contact Management 152WC0802X

* Indicates primary specialty

NPI Profile & details for GARY H GREENE

NPI Number 1568454155
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 08/18/2005
Last updated 01/28/2026 - About 4 months ago
Sole proprietor1 Yes
Identifiers
  • AZ License #: AZ0810
  • AZ Medicaid: 137085
  • AZ Other: 088458 AHCCCS
  • AZ Other: AZ0179560 BLUE CROSS BLUE SHIELD
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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