{"npi":"1922532811","type":"NPI-1","status":"active","name":{"display":"Nicholas Green OD","other":[],"first":"NICHOLAS","last":"GREEN","middle":"RYAN","credential":"OD"},"specialty":{"primary_taxonomy":"152W00000X","primary_taxonomy_description":"Optometrist","slug":"optometrist","schema_org_specialty":null,"all":[{"code":"152W00000X","description":"Optometrist","primary":false,"state":"SC","license":"2042"},{"code":"152W00000X","description":"Optometrist","primary":true,"state":"FL","license":"OPC6906"},{"code":"152W00000X","description":"Optometrist","primary":false,"state":"OK","license":"2929"}]},"addresses":[{"purpose":"LOCATION","street_1":"3200 S UNIVERSITY DR","city":"DAVIE","state":"FL","postal_code":"333282018","country_code":"US","phone":"9542624200"},{"purpose":"MAILING","street_1":"PO BOX 290370","city":"DAVIE","state":"FL","postal_code":"333290370","country_code":"US","phone":"9542624200"}],"license":{"state":"FL","number":"OPC6906"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"D20421","state":"SC","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20170922000622","type_code":"14-41","type_desc":"PRACTITIONER - OPTOMETRY","state":"OK","pac_id":"3274807797"},{"enrlmt_id":"I20171016000249","type_code":"14-41","type_desc":"PRACTITIONER - OPTOMETRY","state":"TX","pac_id":"3274807797"},{"enrlmt_id":"I20181213000385","type_code":"14-41","type_desc":"PRACTITIONER - OPTOMETRY","state":"SC","pac_id":"3274807797"},{"enrlmt_id":"I20200902001692","type_code":"14-41","type_desc":"PRACTITIONER - OPTOMETRY","state":"FL","pac_id":"3274807797"}]},"enumeration_date":"2017-04-18","last_updated":"2026-04-16","_meta":{"source":"NPPES","snapshot_date":"2026-04-16","doc_url":"https://findmynpi.com/api"}}