Organization Active NPI

Grifasi Eyecare and Optical, III, Inc.

  • Optometrist
  • Lewes, DE
National Provider Identifier
1154357598
Registry record updated Mar 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
GRIFASI EYECARE AND OPTICAL, III, INC.
Doing business as
Grifasi Eyecare and Optical, Inc.
Practice address
17252 N Village Main Blvd
Unit 6
Lewes, DE 19958-6292
Phone
(302) 644-1039
NPI assigned
Jun 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2011

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

Authorized official

Name
Richard Salvatore GrifasiNPI 1881698116
Title
President
Phone
(302) 644-1039

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

17252 N Village Main Blvd
Unit 6
Lewes, DE 19958-6292

Mailing address

17252 N Village Main Blvd
Unit 6
Lewes, DE 19958-6292
Phone (302) 644-1039

Other identifiers 1

IdentifierTypeStateIssuer
1000035225MedicaidDE

Other names 1

  • Grifasi Eyecare and Optical, Inc. Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040329001742 DE Part B Supplier - Clinic/Group Practice 5395637607 Receives reassigned benefits from 1 practitioner
Practice locations: Lewes, DE

National Provider Directory

National Provider Directory

Locations

17252 N Village Main Blvd
Unit 6
Lewes, DE 19958
Phone (302) 644-1039

Practitioners & affiliated clinicians

Practitioners 1

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": "1299110400000",
    "number": "1154357598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17252 N VILLAGE MAIN BLVD",
            "address_2": "UNIT 6",
            "city": "LEWES",
            "state": "DE",
            "postal_code": "199586292",
            "telephone_number": "302-644-1039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17252 N VILLAGE MAIN BLVD",
            "address_2": "UNIT 6",
            "city": "LEWES",
            "state": "DE",
            "postal_code": "199586292",
            "telephone_number": "302-644-1039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRIFASI EYECARE AND OPTICAL, III, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-25",
        "last_updated": "2011-03-03",
        "status": "A",
        "authorized_official_last_name": "GRIFASI",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "SALVATORE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "302-644-1039"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1000035225",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grifasi Eyecare and Optical, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lewes, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2011; 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.