Individual provider Active NPI

Ted Powers Griffin Jr., OD

  • Optometrist
  • Laguna Niguel, CA
National Provider Identifier
1629176730
Registry record updated Sep 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
6452T Issued in CA
Practice address
30030 Town Center Dr
Laguna Niguel, CA 92677-2096
Phone
(949) 495-3031
NPI assigned
Sep 20, 2006
Last updated
Sep 19, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 19, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 6452T CA Primary

Addresses

Primary practice location

30030 Town Center Dr
Laguna Niguel, CA 92677-2096

Mailing address

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

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
I20060315000367 CA Practitioner - Optometry 4587671607 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Total Vision PCGroup PAC ID 9234472242, 115 clinicians

Practice addresses (Care Compare)

1190 Pacific Coast Hwy
Suite E
Seal Beach, CA 90740-6247
Phone (562) 431-2031

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery34

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6452TCAMDOptometrist
6452CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Total Vision PC Optometrist CurrentSince Jun 17, 2019 Accepting new patients
Seal Beach Eyes Optometry Inc Optometrist PastSince Mar 10, 2017 Accepting new patients
Steven T Klein OD & Kimberly Plattner OD a Professional Corporation Optometrist Past Accepting new patients

Locations

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

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

27271 Las Ramblas
Ste 210
Mission Viejo, CA 92691

1001 Avenida Pico
San Clemente, CA 92673
Phone (949) 429-2085

1001 Avenida Pico
Ste A
San Clemente, CA 92673
Phone (949) 940-0200

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

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

11717 Bernardo Plaza Ct
Ste 105
San Diego, CA 92128
Phone (858) 487-5555

12880 Carmel Country Rd
Ste D110
San Diego, CA 92130
Phone (858) 289-4820

1190 Pacific Coast Hwy
Ste E
Seal Beach, CA 90740
Phone (562) 431-2031

Organizations & group practices 5

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": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316390400000",
    "number": "1629176730",
    "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": "30030 TOWN CENTER DR",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926772096",
            "telephone_number": "949-495-3031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIFFIN",
        "first_name": "TED",
        "middle_name": "POWERS",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2011-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "6452T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laguna Niguel, CA

Sources for this page

Verify at the official NPI Registry.