MARY KELLY GREEN MD PLLC
NPI 1790050698
Eyewear Supplier in Marble Falls, TX

Active since March 12, 2012
204 GATEWAY N, SUITE C, MARBLE FALLS, TX 78654(803) 693-3787(803) 798-8012 Get Directions Write a Review

NPPES record last updated: June 15, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mary Kelly Green Md Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARY KELLY GREEN MD PLLC (NPI 1790050698) is a healthcare organization registered as an eyewear supplier in Marble Falls, Texas and active in the NPI registry since March 2012. The organization lists Mary K. Green, Owner, as its authorized official.

NPPES Registry Identity

NPI1790050698
Entity TypeOrganization
Primary Taxonomy332H00000X
Legal Business NameMARY KELLY GREEN MD PLLC
Location Address204 GATEWAY N, SUITE CMarble Falls, TX 78654-6361
Mailing Address204 Gateway N, Suite CMarble Falls, TX 78654-6361 · (803) 693-3787 · Fax (803) 798-8012
Fax(803) 798-8012
Organization SubpartNo
Authorized OfficialMary K. GreenOwner · (803) 693-3787
Enumeration DateMarch 12, 2012
Last NPPES UpdateJune 15, 2012
NPI 1790050698 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEyewear SupplierSuppliers
Taxonomy Code332H00000X
Definition
An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.
204 GATEWAY N, Marble Falls, TX 78654

Other Identifiers 1

Medicare NSC6683960001PA

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Ambulatory Surgical)
204 GATEWAY N
MARBLE FALLS, TX 78654
Optometrist
204 GATEWAY N, SUITE A
MARBLE FALLS, TX 78654
Ophthalmology
204 GATEWAY N, SUITE A
MARBLE FALLS, TX 78654
Ophthalmology
204 GATEWAY N, SUITE A
MARBLE FALLS, TX 78654
Ophthalmology
204 GATEWAY N, SUITE A
MARBLE FALLS, TX 78654
Eyewear Supplier
204 GATEWAY N, SUITE C
MARBLE FALLS, TX 78654

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Kelly Green MD PLLC's NPI number?

The NPI number for Mary Kelly Green MD PLLC is 1790050698. It was assigned to this organization in the NPPES registry on March 12, 2012.

Where is Mary Kelly Green MD PLLC located?

Mary Kelly Green MD PLLC is located at 204 Gateway N Suite C, Marble Falls, TX 78654. The listed phone number is (803) 693-3787.

What is Mary Kelly Green MD PLLC's specialty?

The primary specialty registered for this NPI is Eyewear Supplier with taxonomy code 332H00000X.

When was this NPI record last updated?

The NPPES record for Mary Kelly Green MD PLLC was last updated on June 15, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.