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Dr. Kenneth O Green, MD,
Ophthalmology Physician in Belleville, Illinois
NPI 1780680900

Kenneth O Green is a Ophthalmology Physician based in Belleville, IL. Kenneth O Green practices in Belleville, IL and has the professional credentials of MD,. The NPI Number for Kenneth O Green is 1780680900 and holds a License No. 036037266 (Illinois).

The current practice location address for Kenneth O Green is 111 W Lincoln St, Belleville, IL and can be reached out via phone at 618-234-1774 and via fax at 618-234-7979.

Location: 111 W Lincoln St, Belleville, IL, 62220-2019
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1780680900
Provider Name
Kenneth O Green
Credential
MD,
Provider Entity Type
Individual
Gender
Male
Address
111 W Lincoln St, Belleville, IL, 62220-2019
Phone Number
618-234-1774
Fax Number
618-234-7979
Provider Enumeration Date
06/22/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1376586685 01 IL NPI GROUP
036037266 05 IL
211586 01 IL MEDICARE GROUP
CH6508 01 IL MEDICARE RAILROAD GROUP
P00216102 01 IL MEDICARE RAILROAD
institution
Provider Business Practice Location Address Details
Address
111 W Lincoln St
City
Belleville
State
Illinois
Zip
62220-2019
Phone Number
618-234-1774
Fax Number
618-234-7979
person
Provider Business Mailing Address Details
Address
111 W Lincoln St
City
Belleville
State
Illinois
Zip
62220-2019
Phone Number
618-234-1774
Fax Number
618-234-7979
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Ophthalmology
Speciality
-
Taxonomy
207W00000X
License No.
036037266 (Illinois)
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
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