Active NPI
John Thomas Griggs, OD
- Optometrist
- Conover, NC
National Provider Identifier
1023172152
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- NC1139
- Practice address
- 201 Zelkova CT NW
Conover, NC 28613 - Phone
- (828) 464-4362
- Fax
- (828) 324-2792
- NPI assigned
- Dec 21, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | NC1139 | NC | Primary |
Addresses
Primary practice location
201 Zelkova CT NW
Conover, NC 28613
Mailing address
1538 Victorian Hills Circle
Conover, NC 28613
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Jun 11, 2013 through Jun 11, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1139 | NC | MD | Marriage & Family Therapist |
| NC1139 | NC | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166659200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1023172152",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1538 VICTORIAN HILLS CIRCLE",
"city": "CONOVER",
"state": "NC",
"postal_code": "28613"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 ZELKOVA CT NW",
"city": "CONOVER",
"state": "NC",
"postal_code": "28613",
"telephone_number": "828-464-4362",
"fax_number": "828-324-2792"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRIGGS",
"first_name": "JOHN",
"middle_name": "THOMAS",
"name_prefix": "Mr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NC",
"license": "NC1139",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Conover, NC
- Glenda Robinette Grant, RN
- Graystone Family Healthcare PA
- Graystone Family Healthcare-Tenet North Carolina LLC
- Great Hope Missionary Baptist Church
- Richard Madison Griffin, M.D.
- Growing Tree Counseling Center, PLLC
- Terresa Marie Guenette, CNA 2
- Ryan Craig Gutz, DC
- Donna F Hafer, ADN-RN
- Monica J Haley
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.