Individual
DR. JEFFREY SCOTT GREENFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
138 N YORK ST, ELMHURST, IL 60126-2806
(630) 279-2020
(630) 279-2604
Mailing address
1950 OLD GALLOWS RD STE 520, VIENNA, VA 22182-3970
(703) 847-8899
(571) 223-6780
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046008136
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02222516
BCBSIL #
IL
01
—
0410023089
RRMED
IL
01
—
363910930
TAX ID #
IL
01
—
705560
MEDICARE PROVIDER #
IL
Enumeration date
12/06/2006
Last updated
02/03/2021
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