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

Nicholas Ryan Green, OD

Individual provider Optometrist · NPI 1922532811

Nicholas Ryan Green, OD is an Optometry in Davie, Florida. Graduated from Ohio State University - College of Optometry in 2017, 9 years ago. Practices with Nova Southeastern University Inc, a 94-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida, Oklahoma and South Carolina.

Years since qualifying
9
Trained at
Ohio State University - College of Optometry
Licensed in
FL, OK, SC
In the registry since
2017
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

3200 S University Dr
Davie, FL 33328-2018
Phone: (954) 262-4200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1 Richland Medical Park Dr Ste 210, Columbia, SC 29203 — (803) 434-2020

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence OPC6906 (FL)
Optometrist Taxonomy 152W00000X · Licence 2042 (SC)
Optometrist Taxonomy 152W00000X · Licence 2929 (OK)

Record details

NPI number1922532811
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedApril 18, 2017
Last updated in NPPESApril 16, 2026
Certification dateApril 16, 2026
Mailing addressPo Box 290370, Davie, FL 33329-0370

Medicare enrollment

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

Medicare specialtyOPTOMETRY
Medical schoolOHIO STATE UNIVERSITY - COLLEGE OF OPTOMETRY
Graduated 2017 (9 years in practice)
Group practice Nova Southeastern University Inc — 94 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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