Glynn Griffin, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

4001 Issued in AR

Practice address

2600 W Pleasant Crossing Dr Ste 60
Rogers, AR 72758-8323

Phone

(479) 202-4725

NPI assigned

Dec 12, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Jason Wonch, O.D. and Associates, a.P.C.

  • Optometrist
  • Lake Charles, LA
  • NPI 1295769008
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596153600000",
    "number": "1003977364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 W PLEASANT CROSSING DR STE 60",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727588323",
            "telephone_number": "479-202-4725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 W PLEASANT CROSSING DR STE 60",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727588323",
            "telephone_number": "479-202-4725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIFFIN",
        "first_name": "GLYNN",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-12",
        "last_updated": "2020-07-31",
        "certification_date": "2020-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AR",
            "license": "4001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tara Leann Green, APRN, FNP-C
• Maxwell Greenway
• Hailey Reid Greiner, CCC-SLP
• Gretta Meeker Counseling Inc
• Robert Howard Grider
• Sadie Grigg
• Lisa A Griggs, MS, LPC
• Ginger Grimsley, OTR-L
• Marcella Anne Groover, LPC
• Alexandra Grover

• Optometrist in Rogers, AR
• Providers in Rogers, AR by specialty
• Optometrist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.