Organization
GREENFIELD OPTICAL, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY GREENFIELD O.D. (DOCTOR/PRESIDENT)
(630) 834-7710
Entity
Organization
Contact information
Practice address
210 N YORK ST, ELMHURST, IL 60126-2706
(630) 834-7710
(630) 834-7713
Mailing address
210 N YORK ST, ELMHURST, IL 60126-2706
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
046-008136
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02222516
BCBSIL #
IL
01
—
DQ5672
RAILROAD MEDICARE
IL
Enumeration date
11/15/2007
Last updated
12/16/2010
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