Individual
DR. SIDNEY GREENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
523 GANDY ST NE, STE. A, RUSSELLVILLE, AL 35653-1947
(205) 208-9955
(888) 561-0756
Mailing address
523 GANDY ST NE, STE. A, RUSSELLVILLE, AL 35653-1947
(205) 208-9955
(888) 561-0756
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
S328TA145
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000059359
—
AL
01
—
051059359
BCBS OF AL
AL
01
—
051527188
BCBS OF AL
AL
Enumeration date
10/19/2006
Last updated
10/07/2015
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