Individual provider Active NPI

Andrea Nicole Griffin, OD

  • Optometrist
  • Castle Rock, CO
National Provider Identifier
1063072478
Registry record updated Sep 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT.0003491 Issued in CO
Practice address
2356 Meadows Blvd Ste 100B
Castle Rock, CO 80109-8410
Phone
(720) 531-0688
Fax
(303) 660-6173
NPI assigned
Jun 18, 2019
Last updated
Sep 14, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT.0003491 CO Primary

Addresses

Primary practice location

2356 Meadows Blvd Ste 100B
Castle Rock, CO 80109-8410

Mailing address

2356 Meadows Blvd Ste 100B
Castle Rock, CO 80109-8410
Phone (720) 531-0688

Other practice location 1

10520 El Diente Ct Ste A
Englewood, CO 80112-2656
Phone (720) 524-1001

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190723001190 CO Practitioner - Optometry 8426384892 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Front Range Family EyecareGroup PAC ID 8820090954, 9 clinicians

Practice addresses (Care Compare)

4920 S Yosemite St
Suite C5
Greenwood Village, CO 80111-1352
Phone (303) 220-5100

8155 Piney River Ave
Suite 120
Littleton, CO 80125-8728
Phone (214) 315-7022

Merit-based Incentive Payment System (MIPS)

Final score
89.6 of 100Reported as group
Quality
95.18
Improvement activities
40
Cost
71.77

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT.0003491COMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Griffin Eyecare LLC Optometrist CurrentSince Sep 1, 2025 Accepting new patients
Front Range Family Eyecare Optometrist CurrentSince Jan 7, 2025 Accepting new patients
Ridgeline Eyecare Associates Optometrist CurrentSince Aug 1, 2020 Accepting new patients
Ridgeline Eyecare Associates Optometrist CurrentSince Aug 1, 2020 Accepting new patients

Locations

2356 Meadows Blvd
Ste 100B
Castle Rock, CO 80109
Phone (720) 531-0688

4920 S Yosemite St
Ste C5
Greenwood Village, CO 80111
Phone (303) 220-5100

8155 Piney River Ave
Ste 120
Littleton, CO 80125
Phone (214) 315-7022

9045 Forsstrom Dr
Ste 100
Lone Tree, CO 80124
Phone (303) 858-8474

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1560816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600041600000",
    "number": "1063072478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2356 MEADOWS BLVD STE 100B",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801098410",
            "telephone_number": "720-531-0688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2356 MEADOWS BLVD STE 100B",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801098410",
            "telephone_number": "720-531-0688",
            "fax_number": "303-660-6173"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10520 El Diente Ct Ste A",
            "address_purpose": "LOCATION",
            "city": "Englewood",
            "state": "CO",
            "postal_code": "801122656",
            "country_code": "US",
            "telephone_number": "720-524-1001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRIFFIN",
        "first_name": "ANDREA",
        "middle_name": "NICOLE",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-18",
        "last_updated": "2020-09-14",
        "certification_date": "2020-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "OPT.0003491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Castle Rock, CO

Sources for this page

Verify at the official NPI Registry.