Organization Active NPI

Griffith Eye Center PC

  • Ophthalmology Physician
  • Erie, PA
National Provider Identifier
1023259272
Registry record updated Aug 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MD061759L Issued in PA
Legal business name
GRIFFITH EYE CENTER PC
Practice address
2640 W 38TH St
Erie, PA 16506-4524
Phone
(814) 835-8258
Fax
(814) 838-0104
NPI assigned
Mar 18, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2010

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

Authorized official

Name
Susan C Griffith
Title
Office Manager
Phone
(814) 835-8258

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X OEG000560 PA
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207W00000X MD061759L PA Primary

Addresses

Primary practice location

2640 W 38TH St
Erie, PA 16506-4524

Mailing address

2640 W 38TH St
Erie, PA 16506-4524
Phone (814) 835-8258

Other identifiers 1

IdentifierTypeStateIssuer
102448714-0001MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100803000790 PA Part B Supplier - Clinic/Group Practice 1557494143 Receives reassigned benefits from 5 practitioners
Practice locations: Erie, PA; North East, PA
O20130214000158 PA DME Supplier - Physician - OptometristDME Supplier - Physician - Ophthalmology 1557494143 Practice locations: Erie, PA

National Provider Directory

National Provider Directory
Tax ID family
Griffith Eye Center PC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1237334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282089600000",
    "number": "1023259272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2640 W 38TH ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165064524",
            "telephone_number": "814-835-8258",
            "fax_number": "814-838-0104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2640 W 38TH ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165064524",
            "telephone_number": "814-835-8258",
            "fax_number": "814-838-0104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRIFFITH EYE CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-18",
        "last_updated": "2010-08-18",
        "status": "A",
        "authorized_official_last_name": "GRIFFITH",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "814-835-8258"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG000560",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "PA",
            "license": "MD061759L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102448714-0001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Erie, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.