NPIMap

Organization Active NPI

Griffith Eye Center PC

  • Ophthalmology Physician
  • Erie, PA
National Provider Identifier
1407070238
Registry record updated Oct 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MD061759L Issued in PA
Legal business name
GRIFFITH EYE CENTER PC
Practice address
2640 W 38TH St
Erie, PA 16506-4524
Phone
(814) 835-8258
Fax
(814) 838-0104
NPI assigned
Apr 12, 2007
Last updated
Oct 12, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2012

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

Authorized official

Name
Susan Griffith, BS
Title
Office Manager
Phone
(814) 734-3589

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X OEG000560 PA
Ophthalmology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207W00000X MD061759L PA Primary

Addresses

Primary practice location

2640 W 38TH St
Erie, PA 16506-4524

Mailing address

2640 W 38TH St
Erie, PA 16506-4524
Phone (814) 835-8258

Other identifiers 3

IdentifierTypeStateIssuer
1798932OtherPAHIGHMARK ASSIGNMENT ACCT
0016006700005MedicaidPA
997402OtherPAPA BLUE SHIELD

Other names 1

  • Scott A Griffith Optometry Other name

National Provider Directory

National Provider Directory
Tax ID family
Griffith Eye Center PC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350000000000",
    "number": "1407070238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2640 W 38TH ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165064524",
            "telephone_number": "814-835-8258",
            "fax_number": "814-881-7977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2640 W 38TH ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165064524",
            "telephone_number": "814-835-8258",
            "fax_number": "814-838-0104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRIFFITH EYE CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-12",
        "last_updated": "2012-10-12",
        "status": "A",
        "authorized_official_last_name": "GRIFFITH",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "814-734-3589",
        "authorized_official_credential": "BS"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG000560",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "PA",
            "license": "MD061759L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK ASSIGNMENT ACCT",
            "identifier": "1798932",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0016006700005",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA BLUE SHIELD",
            "identifier": "997402",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Scott A Griffith Optometry",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Erie, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 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.