DAVID A GREEN (OD) – Optometrist, NPI 1588629828

DAVID A GREEN (OD) is a healthcare provider. based in Orange park, Florida. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. OP1153 (FL). The NPI Number for DAVID A GREEN (OD) is 1588629828

Main info

Male
52 Years Of Experience
Accepts Medicare Assignment
Name
DAVID A GREEN (OD)
NPI
1588629828
Phone
(904) 272-2020
Address
2023 PROFESSIONAL CENTER DRIVE
Enumeration Date
19 April 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
SOUTHERN COLLEGE OF OPTOMETRY
Secondary Phone
9042722020
Graduation Year
1974 (52 years ago)
PAC ID
4183738909
Group Practice PAC ID
4981776333
Professional Enrollment ID
I20101119000258
Address ID
FL320734472OR2023XDRXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

2,056 OPTOMETRY in FL

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Provider Addresses for DAVID A GREEN (OD)

  • Clay Eye Physicians & Surgeons, 2023, Professional Center Drive, Bellair, Orange Park, Clay County, Florida, 32073, United States

    ORANGE PARK, FL 32073

    Phone: (904) 272-2020

    Fax: (904) 276-4386

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $225.

Total Amount is formed as General ($225) + Research ($0) + Ownership ($0) = $225.

Last reported payment date: 2024-08-31 • Largest payer in this snapshot: Bausch & Lomb Americas Inc. ($84).

Total Amount

$225

General + Research + Ownership

Payments

6

Total payment records

General Amount

$225

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-31

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: 2010-11-19

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20101119000258IOptometryFLTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes608548$0
92250Photography of the retina543530$0
92014Established patient complete exam of visual system163163$0
99213Established patient office or other outpatient visit, 20-29 minutes134110$0
92083Exam of visual field with extended testing5243$0
View full utilization report →

Insurance plans in this area (ZIP 32073)

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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: 4981776333View full group profile
NameSpecialtyState
O P H T H A L M O L O G YFL
O P H T H A L M O L O G YFL
O P H T H A L M O L O G YFL
O P H T H A L M O L O G YFL
O P H T H A L M O L O G YGA
O P H T H A L M O L O G YFL
O P T O M E T R YFL
O P T O M E T R YFL
O P H T H A L M O L O G YFL
O P H T H A L M O L O G YFL

Reviews

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Frequently asked questions

Can I cross-check DAVID A GREEN (OD) using NPI 1588629828?
NPI 1588629828 belongs to DAVID A GREEN (OD); compare other details if you need extra assurance.
Is there an active status for DAVID A GREEN (OD)?
For scheduling context, DAVID A GREEN (OD) is shown as active in the registry.
How would a patient describe DAVID A GREEN (OD)'s focus?
For DAVID A GREEN (OD), the primary taxonomy reads as Optometrist. Clinical services aligned with this taxonomy classification.
Where in Florida is DAVID A GREEN (OD) registered?
Use Orange Park, Florida as the headline location for DAVID A GREEN (OD) here.
Can I trust this NPI listing for DAVID A GREEN (OD)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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