Individual provider Active NPI

Jason C Griffith, O.D.

  • Optometrist
  • Thousand Oaks, CA
National Provider Identifier
1154309789
Registry record updated May 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
11638T Issued in CA
Practice address
140 W Hillcrest Dr
Suite 112
Thousand Oaks, CA 91360-4221
Phone
(805) 497-6964
NPI assigned
Jan 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 11638T CA Primary

Addresses

Primary practice location

140 W Hillcrest Dr
Suite 112
Thousand Oaks, CA 91360-4221

Mailing address

140 W Hillcrest Dr
Suite 112
Thousand Oaks, CA 91360-4221
Phone (805) 497-6964

Other identifiers 2

IdentifierTypeStateIssuer
11638TOtherCACALIFORNIA BOARD OF OPTOMETRY
1154309789OtherCANPI

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

LicenseStateTypeSpecialty
11638TCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
DRS Griffith and Hamlet Optometrists Optometrist CurrentSince Sep 1, 2004 Accepting new patients

Locations

140 W Hillcrest Dr
Ste 112
Thousand Oaks, CA 91360
Phone (805) 497-6964

299 W Hillcrest Dr
Ste 215
Thousand Oaks, CA 91360
Phone (805) 497-6964

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1136332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211846400000",
    "number": "1154309789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 W HILLCREST DR",
            "address_2": "SUITE 112",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913604221",
            "telephone_number": "805-497-6964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 W HILLCREST DR",
            "address_2": "SUITE 112",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913604221",
            "telephone_number": "805-497-6964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIFFITH",
        "first_name": "JASON",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-04",
        "last_updated": "2008-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "11638T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA BOARD OF OPTOMETRY",
            "identifier": "11638T",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1154309789",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Thousand Oaks, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 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.

Verify at the official NPI Registry.