Active NPI
Susan Greenberg, OD
- Optometrist
- Goshen, NY
National Provider Identifier
1376527747
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- UT004779
- Practice address
- 1 Hatfield LN
Ste 3 Eye Physicians of Orange County PC
Goshen, NY 10924-6752 - Phone
- (845) 294-5128
- Fax
- (845) 294-1479
- NPI assigned
- Nov 30, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | UT004779 | NY | Primary |
Addresses
Primary practice location
1 Hatfield LN
Ste 3 Eye Physicians of Orange County PC
Goshen, NY 10924-6752
Mailing address
1 Hatfield LN
Ste 3 Eye Physicians of Orange County PC
Goshen, NY 10924-6752
Phone (845) 294-5128
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01856211 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| UT004779 | NY | MD | Optometrist |
| 004779 | NY | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133308800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1376527747",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 HATFIELD LN",
"address_2": "STE 3 EYE PHYSICIANS OF ORANGE COUNTY PC",
"city": "GOSHEN",
"state": "NY",
"postal_code": "109246752",
"telephone_number": "845-294-5128",
"fax_number": "845-294-1479"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 HATFIELD LN",
"address_2": "STE 3 EYE PHYSICIANS OF ORANGE COUNTY PC",
"city": "GOSHEN",
"state": "NY",
"postal_code": "109246752",
"telephone_number": "845-294-5128",
"fax_number": "845-294-1479"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREENBERG",
"first_name": "SUSAN",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-30",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NY",
"license": "UT004779",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01856211",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Goshen, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.