Individual provider Active NPI

David Daniel Griggs, O.D.

  • Optometrist
  • Decatur, AL
National Provider Identifier
1669441820
Registry record updated Jun 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
S-966-TA-523 Issued in AL
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, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
515-16728OtherALBLUE CROSS BLUE SHIELD
AL 0523OtherALEYEMED/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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
S-966-TA-523ALMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Limestone Optical, LLC Optometrist CurrentSince Jun 9, 2024 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

Verify at the official NPI Registry.