NPIMap

Organization Active NPI

Grifasi Eyecare & Optical II, Inc.

Doing business as Holloway Eye Care & Optique

  • Optometrist
  • Havre de Grace, MD
National Provider Identifier
1073549416
Registry record updated Mar 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
GRIFASI EYECARE & OPTICAL II, INC.
Doing business as
Holloway Eye Care & Optique
Practice address
2015-C Pulaski Highway
Havre de Grace, MD 21078-2144
Phone
(410) 939-7717
Fax
(410) 939-7739
NPI assigned
Jun 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2009

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

Authorized official

Name
Dr. Judith Holloway Grifasi, O.D.NPI 1912909292
Title
Owner/President
Phone
(410) 939-7717

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

2015-C Pulaski Highway
Havre de Grace, MD 21078-2144

Mailing address

2015-C Pulaski Highway
Havre de Grace, MD 21078-2144
Phone (410) 939-7717

Other names 1

  • Holloway Eye Care & Optique Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090304000661 MD Part B Supplier - Clinic/Group Practice 8123184827 Receives reassigned benefits from 2 practitioners
Practice locations: Havre de Grace, MD

National Provider Directory

National Provider Directory

Locations

2015 Pulaski Hwy
Ste C
Hvre de Grace, MD 21078
Phone (410) 939-7710

Practitioners & affiliated clinicians

Practitioners 3

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": "1151193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237939200000",
    "number": "1073549416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2015-C PULASKI HIGHWAY",
            "city": "HAVRE DE GRACE",
            "state": "MD",
            "postal_code": "210782144",
            "telephone_number": "410-939-7717",
            "fax_number": "410-939-7739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2015-C PULASKI HIGHWAY",
            "city": "HAVRE DE GRACE",
            "state": "MD",
            "postal_code": "210782144",
            "telephone_number": "410-939-7717",
            "fax_number": "410-939-7739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRIFASI EYECARE & OPTICAL II, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-25",
        "last_updated": "2009-03-25",
        "status": "A",
        "authorized_official_last_name": "GRIFASI",
        "authorized_official_first_name": "JUDITH",
        "authorized_official_middle_name": "HOLLOWAY",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "410-939-7717",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Holloway Eye Care & Optique",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Havre de Grace, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2009; 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.