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DR. KENNETH O GREEN M.D,
NPI 1780680900
Ophthalmology in Belleville, IL

Active since June 22, 2005
111 W LINCOLN ST, BELLEVILLE, IL 62220(618) 234-1774(618) 234-7979 Get Directions Write a Review

NPPES record last updated: April 13, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Kenneth O Green M.d, NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KENNETH O GREEN M.D, (NPI 1780680900) is an individual ophthalmology provider in Belleville, Illinois, licensed in Illinois (036037266) and active in the NPI registry since June 2005.

NPPES Registry Identity

NPI1780680900
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. KENNETH O GREENCredential: M.D,
Location Address111 W LINCOLN STBelleville, IL 62220-2019
Mailing Address111 W Lincoln StBelleville, IL 62220-2019 · (618) 234-1774 · Fax (618) 234-7979
Phone(618) 234-1774
Fax(618) 234-7979
Sole ProprietorNo
Enumeration DateJune 22, 2005
Last NPPES UpdateApril 13, 2009
✔ NPI 1780680900 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in IL · 036037266
Definition
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.
111 W LINCOLN ST, Belleville, IL 62220
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Other Identifiers 8

Other1376586685IL · Npi Group
Medicare UPINC37410IL
Other211586IL · Medicare Group
Medicare PINK17092IL
Medicare PIN554490IL
OtherCH6508IL · Medicare Railroad Group
Medicaid036037266IL
OtherP00216102IL · Medicare Railroad

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. DONALD RICHARD UNWIN M.D.
Ophthalmology
111 W LINCOLN ST
BELLEVILLE, IL 62220
St. Clair County (618) 234-1774
EYECARE MANAGEMENT, LLC
Optometrist
111 W LINCOLN ST
BELLEVILLE, IL 62220
St. Clair County (618) 234-1774

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kenneth Green's NPI number?

The NPI number for Kenneth Green is 1780680900. It was assigned to this individual provider in the NPPES registry on June 22, 2005.

Where is Kenneth Green located?

Kenneth Green practices at 111 W Lincoln St, Belleville, IL 62220. The listed phone number is (618) 234-1774.

What is Kenneth Green's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

When was this NPI record last updated?

The NPPES record for Kenneth Green was last updated on April 13, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.