NPIMap

Organization Active NPI

Griffin Optometric Group

  • Eyewear Supplier
  • San Clemente, CA
National Provider Identifier
1164569711
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
GRIFFIN OPTOMETRIC GROUP
Practice address
140 Avenida del Mar
San Clemente, CA 92672-4016
Phone
(949) 492-1853
NPI assigned
Jan 31, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Ted Powers Griffin Jr., OD
Title
Owner
Phone
(949) 492-1853

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X Primary

Addresses

Primary practice location

140 Avenida del Mar
San Clemente, CA 92672-4016

Mailing address

140 Avenida del Mar
San Clemente, CA 92672-4016
Phone (949) 492-1853

National Provider Directory

National Provider Directory
Tax ID family
Griffin Optometric Group2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1164569711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 AVENIDA DEL MAR",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926724016",
            "telephone_number": "949-492-1853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 AVENIDA DEL MAR",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926724016",
            "telephone_number": "949-492-1853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRIFFIN OPTOMETRIC GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GRIFFIN",
        "authorized_official_first_name": "TED",
        "authorized_official_middle_name": "POWERS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "949-492-1853",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Aug 22, 2020; 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.