Active NPI
Greenfield Optical, P.C.
- Durable Medical Equipment & Medical Supplies
- Elmhurst, IL
National Provider Identifier
1427239656
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 046-008136
- Legal business name
- GREENFIELD OPTICAL, P.C.
- Practice address
- 210 N York St
Elmhurst, IL 60126-2706 - Phone
- (630) 834-7710
- Fax
- (630) 834-7713
- NPI assigned
- Nov 15, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jeffrey Greenfield, O.D.
- Title
- Doctor/President
- Phone
- (630) 834-7710
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 046-008136 | IL | Primary |
Addresses
Primary practice location
210 N York St
Elmhurst, IL 60126-2706
Mailing address
210 N York St
Elmhurst, IL 60126-2706
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DQ5672 | Other | IL | RAILROAD MEDICARE |
| 02222516 | Other | IL | BCBSIL # |
National Provider Directory
National Provider DirectoryLocations
210 N York St
Elmhurst, IL 60126
Phone (630) 834-7710
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1195084800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1292457600000",
"number": "1427239656",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "210 N YORK ST",
"city": "ELMHURST",
"state": "IL",
"postal_code": "601262706"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 N YORK ST",
"city": "ELMHURST",
"state": "IL",
"postal_code": "601262706",
"telephone_number": "630-834-7710",
"fax_number": "630-834-7713"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GREENFIELD OPTICAL, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2007-11-15",
"last_updated": "2010-12-16",
"status": "A",
"authorized_official_last_name": "GREENFIELD",
"authorized_official_first_name": "JEFFREY",
"authorized_official_title_or_position": "DOCTOR/PRESIDENT",
"authorized_official_telephone_number": "630-834-7710",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "IL",
"license": "046-008136",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "DQ5672",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSIL #",
"identifier": "02222516",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Elmhurst, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.