NPIMap

Organization Active NPI

Griffin Optometric Talega Inc

  • Optometrist
  • San Clemente, CA
National Provider Identifier
1154420602
Registry record updated Jun 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1154420602 Issued in CA
Legal business name
GRIFFIN OPTOMETRIC TALEGA INC
Practice address
1001 Ave Pico
Suite a
San Clemente, CA 92673-6956
Phone
(949) 940-0200
Fax
(949) 940-0201
NPI assigned
Sep 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2012

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

Authorized official

Name
Dr. Patrick Auburn Griffin, OD
Title
Owner
Phone
(949) 940-0200

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X 1154420602 CA Primary
OpticianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 156FX1800X 1154420602 CA

Addresses

Primary practice location

1001 Ave Pico
Suite a
San Clemente, CA 92673-6956

Mailing address

1001 Ave Pico
Suite a
San Clemente, CA 92673-6956
Phone (949) 940-0200

Other names 1

  • Griffin Optometric Talega Former legal business name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338508800000",
    "number": "1154420602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 AVE PICO",
            "address_2": "SUITE A",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926736956",
            "telephone_number": "949-940-0200",
            "fax_number": "949-940-0201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 AVE PICO",
            "address_2": "SUITE A",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926736956",
            "telephone_number": "949-940-0200",
            "fax_number": "949-940-0201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRIFFIN OPTOMETRIC TALEGA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "last_updated": "2012-06-01",
        "status": "A",
        "authorized_official_last_name": "GRIFFIN",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "AUBURN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "949-940-0200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "1154420602",
            "primary": true
        },
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "CA",
            "license": "1154420602",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Griffin Optometric Talega",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in San Clemente, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2012; 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.