KATHERINE ELIZABETH GREEN (O.D.) – Optometrist, NPI 1538541073

KATHERINE ELIZABETH GREEN (O.D.) is a healthcare provider. based in Davie, Florida. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. OEG003071 (PA). The NPI Number for KATHERINE ELIZABETH GREEN (O.D.) is 1538541073

Main info

Female
Sole Proprietor
11 Years Of Experience
Accepts Medicare Assignment
Name
KATHERINE ELIZABETH GREEN (O.D.)
NPI
1538541073
Phone
(954) 262-4397
Address
PO BOX 290370
Enumeration Date
21 June 2015
Last Update Date
8 December 2015

Doctor Profile

Medical School Name
ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Secondary Phone
6172622020
Graduation Year
2015 (11 years ago)
PAC ID
4981905833
Group Practice PAC ID
1850294125
Professional Enrollment ID
I20230719003102
Address ID
MA022151220BO930XXAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:10State licenses:2Digital endpointsOther names

2,056 OPTOMETRY in FL

Provider Addresses for KATHERINE ELIZABETH GREEN (O.D.)

  • PO BOX 290370

    DAVIE, FL 333290370

    Phone: (954) 262-4397

    Fax: (952) 262-2269

    Type: Mailing

  • 3200 S UNIVERSITY DR

    TERRY BUILDING 1402

    DAVIE, FL 333282018

    Phone: (954) 262-1402

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $84.

Total Amount is formed as General ($84) + Research ($0) + Ownership ($0) = $84.

Last reported payment date: 2023-07-06 • Largest payer in this snapshot: Oyster Point Pharma, Inc. ($84).

Total Amount

$84

General + Research + Ownership

Payments

1

Total payment records

General Amount

$84

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-07-06

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-07-19

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20151217001313IOptometryFLTBD
I20230719003102IOptometryMATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33329)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1850294125View full group profile
NameSpecialtyState
O P T O M E T R YMA
O P T O M E T R YRI
O P T O M E T R YCT
O P T O M E T R YTN
-NJ
O P T O M E T R YMA
O P T O M E T R YSD
O P T O M E T R YMA
O P T O M E T R YNY
O P T O M E T R YMA

Reviews

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Frequently asked questions

What NPI should I save for KATHERINE ELIZABETH GREEN (O.D.)?
Save NPI 1538541073 if you need a stable reference for KATHERINE ELIZABETH GREEN (O.D.).
Is KATHERINE ELIZABETH GREEN (O.D.)'s NPI currently valid?
The extract we use shows KATHERINE ELIZABETH GREEN (O.D.) as active.
What kind of provider is KATHERINE ELIZABETH GREEN (O.D.)?
The page reflects Optometrist for KATHERINE ELIZABETH GREEN (O.D.). Clinical services aligned with this taxonomy classification.
Does KATHERINE ELIZABETH GREEN (O.D.) practice in Florida?
You will see Davie, Florida on file for KATHERINE ELIZABETH GREEN (O.D.) alongside any extra practice locations.
How can I contact KATHERINE ELIZABETH GREEN (O.D.)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.