# LAWRENCE H GREEN, MD A MEDICAL CORPORATION

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Green Vision Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114060498
- **Authorized official:** DR. LAWRENCE H GREEN M.D. (OWNER)
- **Authorized official phone:** (818) 990-0300

## Contact information

- **Practice address:** 16055 VENTURA BLVD, \#630, ENCINO, CA 91436-2601
- **Practice address phone:** (818) 990-0300
- **Practice address fax:** (818) 990-4854
- **Mailing address:** 16055 VENTURA BLVD, \#630, ENCINO, CA 91436-2601
- **Mailing address phone:** (818) 990-0300
- **Mailing address fax:** (818) 990-4854

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | G26942 | CA | Yes |

## Other

- **Enumeration date:** 02/15/2007
- **Last updated:** 03/15/2013