Dr. Kenneth O Green is a Belleville, Illinois based male Ophthalmologist who is specialized in Ophthalmology. Active license number of Dr. Kenneth O Green is 036037266 for Ophthalmology in Illinois. Dr. Kenneth O Green is 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, patients can be prescribed vision services, including glasses and contact lenses.
Complete Profile:
Dr. Kenneth O Green speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Ophthalmology
Credentials:
M.D,
Gender:
Male
Practice Address:
111 W Lincoln St, Belleville, Illinois, 62220-2019
Phone:
618-234-1774
Fax:
618-234-7979
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1780680900
NPI Enumeration Date:
22 Jun, 2005
NPI Last Update On:
13 Apr, 2009
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Kenneth O Green are as mentioned below.
License Number
Specialization
State
Status
036037266
Ophthalmology
Illinois
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Kenneth O Green such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
1376586685
Other
Illinois
NPI GROUP
036037266
Medicaid
Illinois
211586
Other
Illinois
MEDICARE GROUP
CH6508
Other
Illinois
MEDICARE RAILROAD GROUP
P00216102
Other
Illinois
MEDICARE RAILROAD
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
111 W Lincoln St, Belleville, Illinois
Zip:
62220-2019
Phone Number:
618-234-1774
Fax Number:
618-234-7979
Patients can reach Dr. Kenneth O Green at 111 W Lincoln St, Belleville, Illinois or can call to book an appointment on 618-234-1774. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.
Comments/ Reviews:
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