Robert David Green, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

9300710 Issued in NC

Practice address

190 Kimel Park Dr
Winston-Salem, NC 27103-6946

Phone

(336) 768-3296

Fax

(336) 794-8668

NPI assigned

Mar 27, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Department of Veterans Affairs

  • General Acute Care Hospital
  • Winston Salem, NC
  • NPI 1073863197
  NPD (past)
• Southeastern Cataract Laser Center

  • Ophthalmology Physician
  • Greensboro, NC
  • NPI 1063771616
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1143417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1598725137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 KINGLET CIR",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274551362",
            "telephone_number": "336-282-4280",
            "fax_number": "336-794-8668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 KIMEL PARK DR",
            "city": "WINSTON-SALEM",
            "state": "NC",
            "postal_code": "271036946",
            "telephone_number": "336-768-3296",
            "fax_number": "336-794-8668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "ROBERT",
        "middle_name": "DAVID",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-27",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NC",
            "license": "9300710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Elizabeth Green, LPN
• O'Ni Tanesha Josephine Green
• Patrick Daniel Green, MD
• Patti Green, LCSWA
• Robert Green, LPCA
• Sarah Green, M.A., CCC-SLP
• Sarah Beth Green, PHARMD
• Stanley Green, MD
• Tiana Natea Green
• Corey Marie Greenberg

• Ophthalmology Physician in Winston-Salem, NC
• Providers in Winston-Salem, NC by specialty
• Ophthalmology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.