DR. KEVIN J GREEN (O. D.) – Optometrist, NPI 1699770495

DR. KEVIN J GREEN (O. D.) is a healthcare provider. based in Richmond, Virginia. specializing in OPTOMETRY. They hold the professional credentials O. D.. They hold a License No. 0618-000057 (VA). The NPI Number for DR. KEVIN J GREEN (O. D.) is 1699770495

Main info

Male
42 Years Of Experience
Accepts Medicare Assignment
Name
DR. KEVIN J GREEN (O. D.)
NPI
1699770495
Phone
(804) 353-3555
Address
2038 MONUMENT AVE
Enumeration Date
17 June 2005
Last Update Date
28 April 2011

Doctor Profile

Medical School Name
PENNSYLVANIA COLLEGE OF OPTOMETRY
Secondary Phone
8043533555
Graduation Year
1984 (42 years ago)
PAC ID
5395927701
Professional Enrollment ID
I20110307000458
Address ID
VA232202708RI2038XAVEX300
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

1,052 OPTOMETRY in VA

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Provider Addresses for DR. KEVIN J GREEN (O. D.)

  • 2038, Monument Avenue, The Fan, Richmond, Richmond City, Virginia, 23220, United States

    RICHMOND, VA 232202708

    Phone: (804) 353-3555

    Fax: (804) 353-9630

    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 4 Open Payments records for all available years, with a total value of $488.

Total Amount is formed as General ($488) + Research ($0) + Ownership ($0) = $488.

Last reported payment date: 2024-11-19 • Largest payer in this snapshot: Alcon Vision LLC ($249).

Total Amount

$488

General + Research + Ownership

Payments

4

Total payment records

General Amount

$488

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-19

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: 2011-03-07

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
I20110307000458IOptometryVATBD

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
92014Established patient complete exam of visual system7575$0
99213Established patient office or other outpatient visit, 20-29 minutes2722$0
92083Exam of visual field with extended testing1816$0
View full utilization report →

Insurance plans in this area (ZIP 23220)

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Reviews

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Frequently asked questions

What is the 10-digit NPI for DR. KEVIN J GREEN (O. D.)?
DR. KEVIN J GREEN (O. D.) — NPI 1699770495 — is the standard way to identify this listing.
Can I rely on DR. KEVIN J GREEN (O. D.) being an active provider?
As of the registry snapshot, DR. KEVIN J GREEN (O. D.) is marked active.
What healthcare role does DR. KEVIN J GREEN (O. D.) hold?
Scheduling teams often label DR. KEVIN J GREEN (O. D.) under Optometrist. Clinical services aligned with this taxonomy classification.
Where should I expect DR. KEVIN J GREEN (O. D.) on a map?
Expect Richmond, Virginia as a primary anchor for DR. KEVIN J GREEN (O. D.) unless the record lists multiple sites.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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