Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1780680900 Individual Practitioner Male Practitioner

Dr. Kenneth O Green , MD

Ophthalmology • Belleville, IL

Professional Overview & Biography Verified Profile Summary

Dr. Kenneth Green, MD is a registered healthcare professional specializing in Ophthalmology in Belleville, IL. Practice services are available at 111 W LINCOLN ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

111 W Lincoln St

Belleville, IL 622202019

Telephone 6182341774
Fax 6182347979
Associated Practice Facility / Clinic
🏢 Eyecare Management, Llc Facility NPI 1558555466

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Belleville, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 39.0 Yrs
State Avg: 31.1 Yrs
Regional Practice Density
6 Specialists

Practicing in Belleville, IL (954 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License IL 036037266

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
036037266 (IL)
Commercial Insurance / Payer ID Npi Group
1376586685 (IL)
Commercial Insurance / Payer ID Medicare Group
211586 (IL)
Commercial Insurance / Payer ID Medicare Railroad Group
CH6508 (IL)
Commercial Insurance / Payer ID Medicare Railroad
P00216102 (IL)

Practice Associates & Co-Workers

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

2 Associated Practitioners
NPI 1407851157

Doctor of Medicine (M.D.)

NPI 1528064748

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active April 13, 2009

NPI status registered as active in NPPES database

📍
Updated Practice Location April 13, 2009

Registered at 111 W LINCOLN ST, BELLEVILLE, IL 622202019 (Tel: 6182341774)

📍
Updated Business Mailing Address April 13, 2009

Registered at 111 W LINCOLN ST, BELLEVILLE, IL 622202019 (Tel: 6182341774)

👤
Provider Name / Credentials Updated April 13, 2009

Recorded as KENNETH GREEN, M.D,

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 13, 2009

Ophthalmology (License #036037266 in IL)

🟢
Initial NPI Registration & Enumeration June 22, 2005

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: 1780680900
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 22, 2005
Last Update: April 13, 2009
Sole Proprietor: No

Mailing Address

111 W Lincoln St

Belleville, IL 622202019

Phone: 6182341774

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.