Allen R. Griffin

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

License

2180TG Issued in TX

Legal business name

ALLEN R. GRIFFIN

Doing business as

Texas State Optical

Practice address

2718 B N. Main St.
Liberty, TX 77575

Phone

(936) 336-2273

NPI assigned

May 2, 2007

Last updated

Nov 30, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Allen Ray Griffin, O.D.

Title

Owner

Phone

(936) 336-2273

Specialties & licenses 1

Addresses

Other names 1

• Texas State Optical Doing business as

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196380800000",
    "number": "1689895799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2718 B N. MAIN ST.",
            "city": "LIBERTY",
            "state": "TX",
            "postal_code": "77575",
            "telephone_number": "936-336-2273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2718 B N. MAIN ST.",
            "city": "LIBERTY",
            "state": "TX",
            "postal_code": "77575",
            "telephone_number": "936-336-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLEN R. GRIFFIN",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-02",
        "last_updated": "2007-11-30",
        "status": "A",
        "authorized_official_last_name": "GRIFFIN",
        "authorized_official_first_name": "ALLEN",
        "authorized_official_middle_name": "RAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "936-336-2273",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "TX",
            "license": "2180TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Texas State Optical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Eyewear Supplier in Liberty, TX
• Providers in Liberty, TX by specialty
• Eyewear Supplier in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.