Individual provider Active NPI

Anna Mary Griffith, O.D.

  • Optometrist
  • Chico, CA
National Provider Identifier
1518254002
Registry record updated Jul 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
14364 Issued in CA
Practice address
2565 Ceanothus Ave
Chico, CA 95973-7615
Phone
(530) 899-3939
NPI assigned
Jul 5, 2011
Last updated
Jul 10, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2017

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 14364 CA Primary
Pediatric Optometrist 152WP0200X 14364 CA
Sports Vision Optometrist 152WS0006X 14364 CA
Vision Therapy Optometrist 152WV0400X 14364 CA

Addresses

Primary practice location

2565 Ceanothus Ave
Chico, CA 95973-7615

Mailing address

2565 Ceanothus Ave
Ste 155
Chico, CA 95973-7615
Phone (530) 400-5490

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121030000467 CA Practitioner - Optometry 0840460382 Reassigns benefits to 1 organization
Practice locations: Chico, CA

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of California - School of Optometry, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Eye Care Optometry PCGroup PAC ID 4385642404, 4 clinicians

Practice addresses (Care Compare)

2565 Ceanothus Ave
Suite 155
Chico, CA 95973-7615
Phone (530) 899-3939

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
14364CAMDSports Vision Optometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Family Eye Care Optometry, P.C. Optometrist CurrentSince Sep 11, 2012 Accepting new patients

Locations

2565 Ceanothus Ave
#155
Chico, CA 95973
Phone (530) 343-1511

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1309824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1499644800000",
    "number": "1518254002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2565 CEANOTHUS AVE",
            "address_2": "STE 155",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959737615",
            "telephone_number": "530-400-5490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2565 CEANOTHUS AVE",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959737615",
            "telephone_number": "530-899-3939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIFFITH",
        "first_name": "ANNA",
        "middle_name": "MARY",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-05",
        "last_updated": "2017-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "14364",
            "primary": true
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": "CA",
            "license": "14364",
            "primary": false
        },
        {
            "code": "152WS0006X",
            "taxonomy_group": "",
            "desc": "Optometrist, Sports Vision",
            "state": "CA",
            "license": "14364",
            "primary": false
        },
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "CA",
            "license": "14364",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chico, CA

Sources for this page

Verify at the official NPI Registry.