Active NPI
Thomas E Griffith
- Optometrist
- Saint Albans, WV
National Provider Identifier
1093785115
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 608-OD
- Practice address
- 205 4TH Ave
Saint Albans, WV 25177-2821 - Phone
- (304) 727-5237
- Fax
- (304) 727-4051
- NPI assigned
- Jan 23, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 | 608-OD | WV | Primary |
Addresses
Primary practice location
205 4TH Ave
Saint Albans, WV 25177-2821
Mailing address
205 4TH Ave
Saint Albans, WV 25177-2821
Phone (304) 727-5237
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0150229000 | Medicaid | WV |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stevens Eyecare Associates PLLC | Optometrist | Past | Accepting new patients |
| St of WV Div of Rehabilitation Services | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Rehabilitation Clinic/Center
- Institute, WV
- NPI 1619951977
-
- Optometrist
- Saint Albans, WV
- NPI 1326422155
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137974400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1206316800000",
"number": "1093785115",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "205 4TH AVE",
"city": "SAINT ALBANS",
"state": "WV",
"postal_code": "251772821",
"telephone_number": "304-727-5237",
"fax_number": "304-727-4051"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 4TH AVE",
"city": "SAINT ALBANS",
"state": "WV",
"postal_code": "251772821",
"telephone_number": "304-727-5237",
"fax_number": "304-727-4051"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRIFFITH",
"first_name": "THOMAS",
"middle_name": "E",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-01-23",
"last_updated": "2008-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "WV",
"license": "608-OD",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0150229000",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Saint Albans, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.