RICHARD S GREEN (OD) – Optometrist, NPI 1184619132

RICHARD S GREEN (OD) is a healthcare provider. based in Kent, Washington. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 1648TX (WA). The NPI Number for RICHARD S GREEN (OD) is 1184619132

Main info

Male
Sole Proprietor
41 Years Of Experience
Accepts Medicare Assignment
Name
RICHARD S GREEN (OD)
NPI
1184619132
Phone
(253) 631-1530
Address
13210 SE 240TH ST
Enumeration Date
15 September 2005
Last Update Date
23 February 2010

Doctor Profile

Medical School Name
PACIFIC UNIVERSITY - COLLEGE OF OPTOMETRY
Secondary Phone
2536311530
Graduation Year
1985 (41 years ago)
PAC ID
1254440241
Professional Enrollment ID
I20110214000931
Address ID
WA980425182KE13210STXX404
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

1,098 OPTOMETRY in WA

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Provider Addresses for RICHARD S GREEN (OD)

  • Southeast 240th Street, Kent, King County, Washington, 98042, United States

    SUITE C-2

    KENT, WA 980425182

    Phone: (253) 631-1530

    Fax: (253) 631-5262

    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)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2011-02-14

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
I20110214000931IOptometryWATBD

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 system183176$0
99213Established patient office or other outpatient visit, 20-29 minutes14070$0
92133Imaging of optic nerve8275$0
92134Imaging of retina6043$0
92083Exam of visual field with extended testing5351$0
View full utilization report →

Insurance plans in this area (ZIP 98042)

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Reviews

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Frequently asked questions

What unique ID ties claims to RICHARD S GREEN (OD)?
NPI 1184619132 is assigned to RICHARD S GREEN (OD) under the national enumeration system.
Is RICHARD S GREEN (OD) currently active in the NPI registry?
CMS-published data lists RICHARD S GREEN (OD) as an active registrant.
What kind of provider is RICHARD S GREEN (OD)?
The page reflects Optometrist for RICHARD S GREEN (OD). Clinical services aligned with this taxonomy classification.
Where does public data place RICHARD S GREEN (OD)?
The snapshot lists Kent, Washington for RICHARD S GREEN (OD); download NPPES for the complete set.
Is RICHARD S GREEN (OD) a real provider?
This page reflects official NPPES data for NPI 1184619132. Always confirm identity and privileges with the practice and licensing boards.

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