Individual
DR. STUART M GREENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
523 GANDY ST NE, SUITE A, RUSSELLVILLE, AL 35653-1961
(205) 208-9955
(888) 561-0756
Mailing address
PO BOX 1132, RUSSELLVILLE, AL 35653-1132
(205) 208-9955
(888) 561-0756
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
791
MS
152W00000X
Optometrist
OD0000002785
TN
152W00000X
Optometrist
OPT002359
GA
152W00000X
Optometrist
Primary
R148TA685
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009941838
—
AL
05
—
009980355
—
AL
05
—
05027897
—
MS
01
—
051006214
BCBS OF AL
AL
01
—
051526031
BCBS OF AL
AL
01
—
051527186
BCBS OF AL
AL
01
—
051527187
BCBS OF AL
AL
05
—
1510933
—
TN
05
—
781875998C
—
GA
Enumeration date
10/19/2006
Last updated
03/14/2014
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