Greenberg, Stuart M
Greenberg, Stuart M is an individual health care provider with primary practice located at 523 Gandy St Ne Suite A, Russellville AL 35653-1961. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Greenberg, Stuart M can be contacted via phone (205) 208-9955.Contact Information
Primary practice address
523 Gandy St Ne Suite A
Russellville AL 35653-1961
Phone: (205) 208-9955
Fax: (888) 561-0756
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | R148TA685 | Alabama |
| Eye and Vision Services Providers / Optometrist | 152W00000X | 791 | Mississippi |
| Eye and Vision Services Providers / Optometrist | 152W00000X | OPT002359 | Georgia |
| Eye and Vision Services Providers / Optometrist | 152W00000X | OD0000002785 | Tennessee |
Profile Details
| NPI number | 1780766824 |
|---|---|
| LBN Legal business name | Greenberg, Stuart M |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 19th, 2006 |
| Last updated | Mar 14th, 2014 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1780766824 | NPPES |
| Alabama | Other | 051527186 | BCBS OF AL |
| Alabama | MEDICAID | 009980355 | BCBS OF AL |
| Alabama | MEDICAID | 05027897 | BCBS OF AL |
| Alabama | Other | 051006214 | BCBS OF AL |
| Alabama | MEDICAID | 781875998C | BCBS OF AL |
| Alabama | MEDICAID | 009941838 | BCBS OF AL |
| Alabama | MEDICAID | 1510933 | BCBS OF AL |
| Alabama | Other | 051527187 | BCBS OF AL |
| Alabama | Other | 051526031 | BCBS OF AL |
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