Active NPI
Robert Andrew Griffith, O.D.
- Optometrist
- Henderson, NV
National Provider Identifier
1104836253
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 552
- Practice address
- 791 Marks St
Henderson, NV 89014-8601 - Phone
- (702) 434-8444
- Fax
- (702) 434-4044
- NPI assigned
- Aug 9, 2006
- Sex
- Male
- Sole proprietor
- No
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 | 552 | NV | Primary |
Addresses
Primary practice location
791 Marks St
Henderson, NV 89014-8601
Mailing address
791 Marks St
Henderson, NV 89014-8601
Phone (702) 434-8444
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 552 | NV | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1426032000000",
"number": "1104836253",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "791 MARKS ST",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890148601",
"telephone_number": "702-434-8444",
"fax_number": "702-434-4044"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "791 MARKS ST",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890148601",
"telephone_number": "702-434-8444",
"fax_number": "702-434-4044"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRIFFITH",
"first_name": "ROBERT",
"middle_name": "ANDREW",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-09",
"last_updated": "2015-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NV",
"license": "552",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Henderson, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.