Healthcare Provider Details

I. General information

NPI: 1578534228
Provider Name (Legal Business Name): DAVID LLOYD GREENBURG M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/31/2006
Last Update Date: 10/02/2026
Certification Date: 10/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

601 PERIMETER DR STE 100
LEXINGTON KY
40517-4121
US

IV. Provider business mailing address

601 PERIMETER DR STE 100
LEXINGTON KY
40517-4121
US

V. Phone/Fax

Practice location:
  • Phone: 859-278-9393
  • Fax: 859-277-3965
Mailing address:
  • Phone: 859-278-9393
  • Fax: 859-277-3965

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number01012238406
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number0101238406
License Number StateVA
# 3
Primary TaxonomyN
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License NumberD0101692
License Number StateMD
# 4
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number61433
License Number StateKY
# 5
Primary TaxonomyN
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number2024-02400
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: