Dr. Jason H. Greenberg
Optometrist
248 E Gladys Ave
Elmhurst
, Illinois 60126-1928
Dr. Jason H. Greenberg
Optometrist
248 E Gladys Ave
Elmhurst
, Illinois 60126-1928
(773) 348-9538
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About
Features
Specialties
- Optometrist
Languages spoken
- English
Location
First Address
- Dr. Jason H. Greenberg
- Po Box 357
- Elmhurst, IL
- Zip : 60126-0357
- Fax : (773) 348-9538
- Phone : (773) 426-3055
Second Address
- Dr. Jason H. Greenberg
- 248 E Gladys Ave
- Elmhurst, IL
- Zip : 60126-1928
- Fax : (773) 346-1331
- Phone : (630) 630-9144
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 46009476 | IL |
National Provider Identifier
| NPI | 1003977349 |
|---|---|
| Provider Name | Dr. Jason H. Greenberg |
| First Address | Elmhurst, IL 60126-0357 |
| Second Address | Elmhurst, IL 60126-1928 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 12/12/2006 |
| Last Update Date | 29/06/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| MG0889139 | DEA (01) | IL |
| U93853 | (02) | IL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.