NPIMap

Organization Active NPI

Grifasi Eyecare and Optical, Inc.

  • Optometrist
  • Elkton, MD
National Provider Identifier
1083640429
Registry record updated Mar 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
GRIFASI EYECARE AND OPTICAL, INC.
Practice address
202B South Bridge STR.
Elkton, MD 21921-5915
Phone
(410) 392-2323
Fax
(410) 392-2406
NPI assigned
Jun 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 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

202B South Bridge STR.
Elkton, MD 21921-5915

Mailing address

202B South Bridge STR.
Elkton, MD 21921-5915
Phone (410) 392-2323

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
O20070501000358 MD Part B Supplier - Clinic/Group Practice 4284730664 Receives reassigned benefits from 1 practitioner
Practice locations: Elkton, MD

National Provider Directory

National Provider Directory
Tax ID family
Epidemiology3 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.

Locations

202 S Bridge St
#B
Elkton, MD 21921

202B S Bridge St
Elkton, MD 21921
Phone (410) 392-2323

202 S Bridge St
Elkton, MD 21921
Phone (410) 392-2323

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": "1237334400000",
    "number": "1083640429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202B SOUTH BRIDGE STR.",
            "city": "ELKTON",
            "state": "MD",
            "postal_code": "219215915",
            "telephone_number": "410-392-2323",
            "fax_number": "410-392-2406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202B SOUTH BRIDGE STR.",
            "city": "ELKTON",
            "state": "MD",
            "postal_code": "219215915",
            "telephone_number": "410-392-2323",
            "fax_number": "410-392-2406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRIFASI EYECARE AND OPTICAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-25",
        "last_updated": "2009-03-18",
        "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 Elkton, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 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.