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

Dr. Zachary Tyler Green, OD

Individual provider Optometrist · NPI 1861126641

Dr. Zachary Tyler Green, OD is an Optometry in Flagstaff, Arizona. Qualified in 2022, 4 years ago. Practices with Southwestern Eye Center Ltd, a 117-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
4
Licensed in
AZ
In the registry since
2022
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

350 N Switzer Canyon Dr
Flagstaff, AZ 86001-4826
Phone: (928) 779-0500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence OPT-002607 (AZ)

Record details

NPI number1861126641
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedJuly 15, 2022
Last updated in NPPESJuly 21, 2022
Certification dateJuly 20, 2022

Medicare enrollment

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

Medicare specialtyOPTOMETRY
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Southwestern Eye Center Ltd — 117 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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