Karen Ann Griffith, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

9002T Issued in CA

Practice address

320 Petaluma Blvd S
Petaluma, CA 94952-4245

Phone

(707) 762-8643

Fax

(707) 762-3554

NPI assigned

Aug 3, 2005

Last updated

Mar 4, 2008By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Optometry

Education

University of California - School of Optometry, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Karen Griffith OD a Professional Optometry CorporationGroup PAC ID 6204983083, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Karen Griffith OD a Professional Optometry Corporation

  dba Westside Optometry

  • Optometrist
  • Petaluma, CA
  • NPI 1992944185
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1123027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204588800000",
    "number": "1659372365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 PETALUMA BLVD S",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949524245",
            "telephone_number": "707-762-8643",
            "fax_number": "707-762-3554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 PETALUMA BLVD S",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949524245",
            "telephone_number": "707-762-8643",
            "fax_number": "707-762-3554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIFFITH",
        "first_name": "KAREN",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-08-03",
        "last_updated": "2008-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "9002T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1431322",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Greep
• Giancarlo Gregoretti
• Michelle Griffin
• Chriselle Marie Griffith
• Don Markley Griffith, DPM
• Rebecca Griffith, M.S.
• Sena Angelina Griffith, DC
• Griffo Inc (Griffo Acupuncture)
• Margaret J. Grimley, M.D.
• Maya Grini

• Optometrist in Petaluma, CA
• Providers in Petaluma, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.