Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Jordan Green, OD

Individual provider Optometrist · NPI 1568359529

Dr. Jordan Green, OD is an Optometry in Costa Mesa, California. Qualified in 2025, 1 year ago. Licensed in California.

Years since qualifying
1
Licensed in
CA
In the registry since
2025
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

1545 Adams Ave Ste 100
Costa Mesa, CA 92626-3875
Phone: (714) 545-9162
Fax: (714) 241-1345
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 36035 (CA)

Record details

NPI number1568359529
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedJune 23, 2025
Last updated in NPPESDecember 4, 2025
Certification dateDecember 4, 2025
Mailing address34 Lyon Rdg, Aliso Viejo, CA 92656-5279

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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