NPIMap

Organization Active NPI

Griffin Optometric Group

  • Optometrist
  • San Clemente, CA
National Provider Identifier
1497854384
Registry record updated Jul 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
GRIFFIN OPTOMETRIC GROUP
Practice address
140 Avenida del Mar
San Clemente, CA 92672-4016
Phone
(949) 492-1853
NPI assigned
Sep 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2012

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

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

140 Avenida del Mar
San Clemente, CA 92672-4016

Mailing address

30030 Town Center Dr
Laguna Niguel, CA 92677-2096
Phone (949) 495-3031

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.

Locations

30030 Town Center Dr
Laguna Niguel, CA 92677
Phone (309) 825-3612

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": "1341187200000",
    "number": "1497854384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30030 TOWN CENTER DR",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926772096",
            "telephone_number": "949-495-3031"
        },
        {
            "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": "2006-09-21",
        "last_updated": "2012-07-02",
        "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": []
}

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 Jul 2, 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.