Organization Active NPI

Stuart Greenberg

  • Optometrist
  • Birmingham, AL
National Provider Identifier
1043422678
Registry record updated Jul 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
R148TA685 Issued in AL
Legal business name
STUART GREENBERG
Practice address
9340 Helena Rd
Ste F, #314
Birmingham, AL 35244-1794
Phone
(256) 332-5440
NPI assigned
May 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2008

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

Authorized official

Name
Stuart Greenberg
Title
Optometrist
Phone
(256) 332-5440

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X R148TA685 AL Primary

Addresses

Primary practice location

9340 Helena Rd
Ste F, #314
Birmingham, AL 35244-1794

Mailing address

PO Box 7396
Rocky Mount, NC 27804-0396

Other identifiers 3

IdentifierTypeStateIssuer
515-33421OtherALBCBS PROVIDER NUMBER
P00322423OtherALRAILROAD MCARE GROUP #
051557036MedicaidAL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215043200000",
    "number": "1043422678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7396",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278040396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9340 HELENA RD",
            "address_2": "STE F, #314",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352441794",
            "telephone_number": "256-332-5440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STUART GREENBERG",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-04",
        "last_updated": "2008-07-03",
        "status": "A",
        "authorized_official_last_name": "GREENBERG",
        "authorized_official_first_name": "STUART",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "256-332-5440"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "AL",
            "license": "R148TA685",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "515-33421",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MCARE GROUP #",
            "identifier": "P00322423",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "051557036",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.