Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ethan Greenberg, MD

Individual provider Ophthalmology Physician · NPI 1225416944

Ethan Greenberg, MD is an Ophthalmology in Fridley, Minnesota. Graduated from Temple University School of Medicine in 2015, 11 years ago. Practices with Fairview Express Care, a 1,964-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
11
Trained at
Temple University School of Medicine
Licensed in
MN
In the registry since
2015
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

6341 University Ave NE
Fridley, MN 55432-4946
Phone: (612) 626-5775
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ophthalmology Physician (primary) Taxonomy 207W00000X · Licence 65460 (MN)

Record details

NPI number1225416944
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 14, 2015
Last updated in NPPESJanuary 18, 2024
Certification dateJanuary 18, 2024
Mailing address2000 23rd St S, Sartell, MN 56377-4765

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPHTHALMOLOGY
Medical schoolTEMPLE UNIVERSITY SCHOOL OF MEDICINE
Graduated 2015 (11 years in practice)
Group practice Fairview Express Care — 1964 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations12 on file with Medicare

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