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

Kristen Nina Grace Green, OD

Individual provider Optometrist · NPI 1063049336

Kristen Nina Grace Green, OD is an Optometry in Omaha, Nebraska. Graduated from Southern College of Optometry in 2020, 6 years ago. Practices with Midwest Eye Care PC, a 24-clinician group and accepts Medicare assignment. Licensed in Colorado and Nebraska.

Years since qualifying
6
Trained at
Southern College of Optometry
Licensed in
CO, NE
In the registry since
2020
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

4353 Dodge St
Omaha, NE 68131-2709
Phone: (402) 552-2020
Fax: (402) 552-2367
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 1571 (NE)
Optometrist Taxonomy 152W00000X · Licence OPT.0003733 (CO)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1063049336
Entity typeIndividual (Type 1)
GenderFemale
Credentials OD
Sole proprietorNo
NPI enumeratedMarch 25, 2020
Last updated in NPPESJuly 25, 2022
Certification dateJuly 25, 2022

Medicare enrollment

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

Medicare specialtyOPTOMETRY
Medical schoolSOUTHERN COLLEGE OF OPTOMETRY
Graduated 2020 (6 years in practice)
Group practice Midwest Eye Care Pc — 24 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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