Marc Wayne Greenberg, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

004416 Issued in NY

Practice address

770 McLean Ave
Yonkers, NY 10704-3843

Phone

(914) 803-0500

NPI assigned

Jan 28, 2006

Last updated

Nov 16, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

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 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• 200 West Optics, LLC

  dba MyEyeDr.

  • Optometrist
  • Brewster, NY
  • NPI 1831770890
  Medicare reassignment NPD
• Eyeworld LTD

  dba Eyeworld Optical

  • Optometrist
  • Freeport, NY
  • NPI 1740359983
  Medicare reassignment NPD
• Mirmarc

  dba N.Y. Eye Care and Hearing AIDS

  • Optometrist
  • Yonkers, NY
  • NPI 1437120912
  NPD Authorized official
• Mirmarc Inc.

  dba N.Y. Eyecare

  • Eyewear Supplier
  • Yonkers, NY
  • NPI 1750566238
  Authorized official Same address or phone
• 200 West Optics, LLC

  dba MyEyeDr.

  • Optometrist
  • Yonkers, NY
  • NPI 1093398448
  NPD
• 200 West Optics, LLC

  • Optometrist
  • New York, NY
  • NPI 1205787520
  NPD
• Nassau Street Optometry PC

  dba Eye World

  • Optometrist
  • Freeport, NY
  • NPI 1609790112
  NPD (past)

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

{
    "created_epoch": "1138406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637020800000",
    "number": "1144291246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 OLD GALLOWS RD STE 520",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221823970",
            "telephone_number": "703-847-8899",
            "fax_number": "571-223-6780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "770 MCLEAN AVE",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107043843",
            "telephone_number": "914-803-0500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENBERG",
        "first_name": "MARC",
        "middle_name": "WAYNE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-28",
        "last_updated": "2021-11-16",
        "certification_date": "2021-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "004416",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "VUT004416",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Green Line Supplier LLC
• Alicia Adele Green, PMHNP
• Talia Green, LCSW
• Rosemarie Joan Greenan, FNP
• Alan Greenberg, OD
• Melissa Greenberg
• Greenburgh Academy
• Greenburgh-North Castle Ufsd/Greenburgh Academy
• Lynn A. Greene, D.D.S.
• Walter Barry Greenfield, MD

• Optometrist in Yonkers, NY
• Providers in Yonkers, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.