Charles H Greenberg, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

4301031150 Issued in MI

Practice address

3001 Big Beaver Rd
Ste 105
Troy, MI 48084

Phone

(248) 649-2820

Fax

(248) 649-1444

NPI assigned

Mar 8, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Charles H. Greenberg, M.D.P.C

  • Eyewear Supplier
  • Troy, MI
  • NPI 1649441676
  Authorized official Same address or phone

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

{
    "created_epoch": "1141776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211241600000",
    "number": "1063480051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 BIG BEAVER RD",
            "address_2": "STE 105",
            "city": "TROY",
            "state": "MI",
            "postal_code": "48084",
            "telephone_number": "248-649-2820",
            "fax_number": "248-649-1444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 BIG BEAVER RD",
            "address_2": "STE 105",
            "city": "TROY",
            "state": "MI",
            "postal_code": "48084",
            "telephone_number": "248-649-2820",
            "fax_number": "248-649-1444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENBERG",
        "first_name": "CHARLES",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-08",
        "last_updated": "2008-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MI",
            "license": "4301031150",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1376547",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "B44973",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "1806356171",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kevin Green
• Leslie Weiss Green, PH.D.
• Marcus Duwan Green
• Michaela Green
• Sabrina Anne Green
• Dana J Greenberg, MD
• Lawrence A Greenberg, D.O.
• Linda Lee Greer-Clark, PH D.
• Gregg Chiropractic Troy, P.C. (Gregg Chiropractic Troy)
• Gregory a Zemenick MD PC

• Ophthalmology Physician in Troy, MI
• Providers in Troy, MI by specialty
• Ophthalmology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 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.