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

Dr. Lanette Green, OD

Individual provider Optometrist · NPI 1578607958

Dr. Lanette Green, OD is an Optometry in Waite Park, Minnesota. Graduated from Illinois College of Optometry at Chicago in 2001, 25 years ago. Practices with Eagan Eye Clinic LLC, a 48-clinician group and accepts Medicare assignment. Licensed in Louisiana, Minnesota and Texas.

Years since qualifying
25
Trained at
Illinois College of Optometry at Chicago
Licensed in
LA, MN, TX
In the registry since
2007
Specialties on file
3
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

206 Division St
Waite Park, MN 56387-1331
Phone: (320) 253-0365
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 3801 (MN)
Optometrist Taxonomy 152W00000X · Licence 6042T (TX)
Optometrist Taxonomy 152W00000X · Licence 1393-531T (LA)

Record details

NPI number1578607958
Entity typeIndividual (Type 1)
GenderFemale
Credentials OD
Sole proprietorNo
NPI enumeratedFebruary 17, 2007
Last updated in NPPESOctober 3, 2022
Certification dateOctober 3, 2022

Medicare enrollment

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

Medicare specialtyOPTOMETRY
Medical schoolILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Graduated 2001 (25 years in practice)
Group practice Eagan Eye Clinic Llc — 48 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Waite Park