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Active NPI 1922532811 Individual Practitioner Male Practitioner

Dr. Nicholas Ryan Green , OD

Optometrist • Davie, FL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Nicholas Green, OD is a certified Optometrist practicing in Davie, FL. With approximately 9 years of clinical experience since graduating from Ohio State University - College Of Optometry in 2017, Dr. Green delivers high-quality medical care to the local community at 3200 S UNIVERSITY DR.

Dr. Green is affiliated with Nova Southeastern University Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, established patient complete exam of visual system, new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

3200 S University Dr

Davie, FL 333282018

Telephone 9542624200
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Ohio State University - College Of Optometry

Graduation Year

2017

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Davie, FL

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
9 Yrs -5.2 yrs vs City Avg
City Avg: 14.2 Yrs
State Avg: 22.7 Yrs
Regional Practice Density
150 Specialists

Practicing in Davie, FL (3724 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
45.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Green (9 Years) 9 Yrs
Davie Specialty Average (14.2 Years) 14.2 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2020)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
25 25 $193.00 $100.00
99213 Established patient office or other outpatient visit, typically 15 minutes
24 22 $139.00 $69.79
92014 Established patient complete exam of visual system
20 20 $196.00 $120.29

Medical Specialties & State Licenses

CMS Verified: 2026-04-16
Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License FL OPC6906

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Optometrist

NUCC Taxonomy Code: 152W00000X

State License SC 2042

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Optometrist

NUCC Taxonomy Code: 152W00000X

State License OK 2929

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
D20421 (SC)

Hospital & Practice Group Affiliations

Nova Southeastern University Inc

2307 W Broward Blvd, Fort Lauderdale, FL 333121420

Phone: 9542624200

Secondary Practice Locations

1 Richland Medical Park Dr Ste 210

Columbia, SC 29203

Phone: 8034342020

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

39 Associated Practitioners
NPI 1013534528

Doctor of Optometry

NPI 1023469046

Doctor of Optometry

NPI 1033294111

Doctor of Optometry

NPI 1043872088

Doctor of Optometry

NPI 1083392815
NPI 1104817337

Doctor of Optometry

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

14 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 16, 2026

Optometrist (License #2042 in SC)

📍
Updated Practice Location August 28, 2020

Registered at 3200 S UNIVERSITY DR, DAVIE, FL 333282018 (Tel: 9542624200)

📍
Updated Business Mailing Address August 28, 2020

Registered at PO BOX 290370, DAVIE, FL 333290370 (Tel: 9542624200)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 28, 2020

Optometrist (License #OPFC97 in FL)

📍
Updated Practice Location August 14, 2018

Registered at 1 RICHLAND MEDICAL PARK DR STE 210, COLUMBIA, SC 29203 (Tel: 8034342020)

📍
Updated Business Mailing Address August 14, 2018

Registered at PO BOX 743904, ATLANTA, GA 303743904 (Tel: 8032967320)

👤
Provider Name / Credentials Updated August 14, 2018

Recorded as NICHOLAS GREEN, OD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 14, 2018

Optometrist (License #2929 in OK)

NPI Profile Active April 18, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location April 18, 2017

Registered at 1001 N GRAND AVE, TAHLEQUAH, OK 744647017 (Tel: 9184444000)

📍
Updated Business Mailing Address April 18, 2017

Registered at 1001 N GRAND AVE, TAHLEQUAH, OK 744647017 (Tel: 9184444000)

👤
Provider Name / Credentials Updated April 18, 2017

Recorded as NICHOLAS GREEN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 18, 2017

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration April 18, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1922532811
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 18, 2017
Last Update: April 16, 2026
Sole Proprietor: No

Mailing Address

Po Box 290370

Davie, FL 333290370

Phone: 9542624200

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.