Individual provider Active NPI

Jason H. Greenberg, O.D.

  • Optometrist
  • Elmhurst, IL
National Provider Identifier
1003977349
Registry record updated Jul 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
46009476 Issued in IL
Practice address
657 W Belden Ave
Elmhurst, IL 60126-1869
Phone
(630) 853-6969
NPI assigned
Dec 12, 2006
Last updated
Jul 10, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 46009476 IL Primary

Addresses

Primary practice location

657 W Belden Ave
Elmhurst, IL 60126-1869

Mailing address

PO Box 357
Elmhurst, IL 60126-0357
Phone (630) 853-6969

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, NM2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040607000209 IL Practitioner - Optometry 7012999634 Reassigns benefits to 6 organizations
I20251122000189 NM Practitioner - Optometry 7012999634 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2002
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1979 Marcus Ave
Suite 206
New Hyde Park, NY 11042-1068

657 W Belden Ave
Elmhurst, IL 60126-1869

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
46009476ILMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Melrose Park Eye Care LLC Optometrist CurrentSince Mar 4, 2026 Accepting new patients
Aea Eye Care LLC CurrentSince Nov 24, 2025 Accepting new patients
Christina J. Levi O D P C Optometrist CurrentSince Oct 1, 2025 Accepting new patients
Visionworks, Inc CurrentSince Nov 11, 2025 Accepting new patients
Visionworks, Inc. Optometrist CurrentSince Nov 11, 2025 Accepting new patients
ICU at Home Corporation Optometrist CurrentSince May 15, 2003 Accepting new patients
Visionworks, Inc. Optometrist CurrentSince Nov 11, 2025 Accepting new patients
ICU Here PC Optometrist CurrentSince Jul 7, 2025 Accepting new patients
Christina J. Levi O D P C Optometrist Past Accepting new patients

Locations

134 E Blackhawk Dr
Byron, IL 61010
Phone (815) 234-2020

4814 N Clark St
Ste B
Chicago, IL 60640
Phone (773) 897-0800

2100 Troy Rd
Edwardsville, IL 62025
Phone (618) 656-8888

6570 N Illinois St
Ste A
Fairview Heights, IL 62208
Phone (618) 628-3502

904 W North Ave
Melrose Park, IL 60160
Phone (708) 343-6767

239 Golf Mill Ctr
Ste 255
Niles, IL 60714
Phone (847) 297-2286

2422 US Highway 34
Oswego, IL 60543
Phone (630) 551-4133

700 S Telshor Blvd
Ste 1536
Las Cruces, NM 88011
Phone (575) 522-8244

Networks

  • IL PPO Downstate
  • devoted network organization-27eb9117-6975-449a-a7ad-909243995ddc
  • devoted network organization-734447cc-691b-4aa7-a112-9c9c8698dcc9
  • IL HMO C-SNP
  • devoted network organization-1baeae7e-6b6f-49f9-a562-1b2d2e55c806

Organizations & group practices 9

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

NPI Registry JSON

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752105600000",
    "number": "1003977349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 357",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601260357",
            "telephone_number": "630-853-6969",
            "fax_number": "773-346-1331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "657 W BELDEN AVE",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601261869",
            "telephone_number": "630-853-6969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENBERG",
        "first_name": "JASON",
        "middle_name": "H.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-12",
        "last_updated": "2025-07-10",
        "certification_date": "2025-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "46009476",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmhurst, IL

Sources for this page

Verify at the official NPI Registry.