Donovan George Green, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

435 Issued in NM

Practice address

3124 E. Central Expressway
Killeen, TX 76543

Phone

(254) 690-4733

NPI assigned

Nov 10, 2005

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

Enrolled in TX

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Killeen Eye Associates, P.a.

  • Optometrist
  • Killeen, TX
  • NPI 1457594129
  Medicare reassignment NPD

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

{
    "created_epoch": "1131580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687910400000",
    "number": "1750362117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2618 DOUGLAS FIR",
            "city": "HARKER HEIGHTS",
            "state": "TX",
            "postal_code": "765482546",
            "telephone_number": "210-709-2899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3124 E. CENTRAL EXPRESSWAY",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "76543",
            "telephone_number": "254-690-4733"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "LANDSTUHL REGIONAL MEDCEN",
            "address_2": "BUILDING 3769",
            "address_purpose": "LOCATION",
            "city": "APO",
            "state": "AE",
            "postal_code": "091800357",
            "country_code": "US",
            "telephone_number": "011496371865205",
            "fax_number": "011496371866975",
            "country_name": "United States",
            "address_type": "MIL"
        }
    ],
    "basic": {
        "last_name": "GREEN",
        "first_name": "DONOVAN",
        "middle_name": "GEORGE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-10",
        "last_updated": "2023-06-28",
        "certification_date": "2023-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NM",
            "license": "435",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tamica Grant
• Greater Is Here LLC
• Greater Killeen Free Clinic
• Daryl Green, LPC LMFT NCC
• Deborah Denise Green, BA, MSOT
• Kelly Elaine Green, LCSW
• Lindsey Jade Green
• Greenlight Med Ride, LLC
• Greentree Health
• Dana Michelle Gregory, LMT, MTI, ATSI, BS

• Optometrist in Killeen, TX
• Providers in Killeen, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2023; 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.