Griffinted P D D Inc

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

GRIFFINTED P D D INC

Practice address

140 Avenida del Mar
San Clemente, CA 92672-4016

Phone

(949) 492-1853

NPI assigned

Sep 19, 2007

Organization subpart

No

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) 495-3031

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Traci Lynne Paul, OD

  • Optometrist
  • Laguna Niguel, CA
  • NPI 1336248954
  NPD (past)

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

{
    "created_epoch": "1190160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425513600000",
    "number": "1285820696",
    "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": "GRIFFINTED P D D INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-19",
        "last_updated": "2015-03-05",
        "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": "949-495-3031",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tahjaniera A Greenwade, LVN
• Gregory Clibon, DDS - Beach Cities Dental Group, Apc
• Griffin Optometric Group
• Griffin Optometric Group
• Griffin Optometric Talega Inc
• Jennifer Renee Griffith, LCSW
• Sandra S Grifman, PHD MFC 12218
• Gruber Medical Corporation
• Nancy Elizabeth Guardado McDougall, PSY.D.
• Nicolette Gubicza, LMFT 121814

• Optometrist in San Clemente, CA
• Providers in San Clemente, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 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.

Verify at the official NPI Registry.