Organization Active NPI

Greenberg Holdings LLC

  • Ophthalmologic Surgery Clinic/Center
  • Carmel, IN
National Provider Identifier
1104622505
Registry record updated May 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmologic Surgery Clinic/CenterTaxonomy code 261QS0132X
Legal business name
GREENBERG HOLDINGS LLC
Practice address
10485 N Pennsylvania St Ste 150
Carmel, IN 46280-2013
Phone
(773) 793-6242
NPI assigned
Feb 25, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2025

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

Authorized official

Name
Jason Greenberg, MDNPI 1770606329
Title
Owner
Phone
(773) 793-6242

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmologic Surgery Clinic/Center 261QS0132X Primary

Addresses

Primary practice location

10485 N Pennsylvania St Ste 150
Carmel, IN 46280-2013

Mailing address

10485 N Pennsylvania St Ste 150
Carmel, IN 46280-2013
Phone (773) 793-6242

Other names 1

  • Greenberg Lasik Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, KY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20250524000017 IN Part B Supplier - Clinic/Group Practice 5597284307 Receives reassigned benefits from 3 practitioners
Practice locations: Indianapolis, IN
O20260223001605 KY Part B Supplier - Clinic/Group Practice 5597284307 Receives reassigned benefits from 2 practitioners
Practice locations: Louisville, KY

National Provider Directory

National Provider Directory

Locations

8500 Keystone Xing
Ste 150A
Indianapolis, IN 46240
Phone (855) 313-2020

4040 Dutchmans Ln
Louisville, KY 40207
Phone (855) 313-2020

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1740441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748304000000",
    "number": "1104622505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10485 N PENNSYLVANIA ST STE 150",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "462802013",
            "telephone_number": "773-793-6242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10485 N PENNSYLVANIA ST STE 150",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "462802013",
            "telephone_number": "773-793-6242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENBERG HOLDINGS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-25",
        "last_updated": "2025-05-27",
        "certification_date": "2025-05-27",
        "status": "A",
        "authorized_official_last_name": "GREENBERG",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-793-6242",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QS0132X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ophthalmologic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Greenberg Lasik",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Greenberg Lasik",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Carmel, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.