Active NPI
David Daniel Griggs, O.D.
- Optometrist
- Decatur, AL
National Provider Identifier
1669441820
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- S-966-TA-523
- Practice address
- 2800 Spring Ave SW
Decatur, AL 35603-1218 - Phone
- (256) 355-5775
- Fax
- (256) 355-3263
- NPI assigned
- Mar 17, 2006
- Last updated
- Jun 3, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | S-966-TA-523 | AL | Primary |
Addresses
Primary practice location
2800 Spring Ave SW
Decatur, AL 35603-1218
Mailing address
404 Brookwood Dr E
Athens, AL 35613-2304
Phone (256) 497-7736
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 515-16728 | Other | AL | BLUE CROSS BLUE SHIELD |
| AL 0523 | Other | AL | EYEMED/COLE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040520000349 | AL | Practitioner - Optometry | 1254322100 | Practice locations: Athens, AL; Decatur, AL |
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
619 US Hwy 72 W
Athens, AL 35611-4211
Phone (256) 232-7011
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S-966-TA-523 | AL | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Limestone Optical, LLC | Optometrist | Current | Accepting new patients |
Locations
2800 Spring Ave SW
Decatur, AL 35603
Phone (256) 350-9969
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": "1142553600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717372800000",
"number": "1669441820",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "404 BROOKWOOD DR E",
"city": "ATHENS",
"state": "AL",
"postal_code": "356132304",
"telephone_number": "256-497-7736",
"fax_number": "256-355-3263"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2800 SPRING AVE SW",
"city": "DECATUR",
"state": "AL",
"postal_code": "356031218",
"telephone_number": "256-355-5775",
"fax_number": "256-355-3263"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRIGGS",
"first_name": "DAVID",
"middle_name": "DANIEL",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-17",
"last_updated": "2024-06-03",
"certification_date": "2024-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "AL",
"license": "S-966-TA-523",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "515-16728",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EYEMED/COLE",
"identifier": "AL 0523",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Decatur, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2024; 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.