Provider Demographics
NPI:1487696811
Name:BIEDERMAN, DANA GREENBERG (OD)
Entity type:Individual
Prefix:DR
First Name:DANA
Middle Name:GREENBERG
Last Name:BIEDERMAN
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7908 PEACOCK LN
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75035-7148
Mailing Address - Country:US
Mailing Address - Phone:972-821-6006
Mailing Address - Fax:
Practice Address - Street 1:10150 LEGACY DR STE 300
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75033-6731
Practice Address - Country:US
Practice Address - Phone:469-444-8888
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-11
Last Update Date:2021-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX6714TG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXDO9312OtherRAILROAD MEDICARE
TX00E41YOtherGROUP PTAN
TX1234530001OtherGROUP DMERC
TX1902852346OtherGROUP NPI
TX8G7305Medicare PIN
TXV09988Medicare UPIN