Individual provider Active NPI

Richard Salvatore Grifasi, OD

  • Optometrist
  • Lewes, DE
National Provider Identifier
1881698116
Registry record updated Feb 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
13-0001203 Issued in DE
Practice address
17425 Ocean One Plaza
Unit 2
Lewes, DE 19958
Phone
(302) 644-1039
NPI assigned
Jun 1, 2005
Last updated
Feb 19, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 13-0001203 DE Primary

Addresses

Primary practice location

17425 Ocean One Plaza
Unit 2
Lewes, DE 19958

Mailing address

17425 Ocean One Plaza
Unit 2
Lewes, DE 19958-6292
Phone (302) 644-1039

Other practice location 1

17252 N Village Main Blvd
Unit 6
Lewes, DE 19958-6292
Phone (302) 644-1039

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
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
I20101019000997 DE Practitioner - Optometry 9739071044 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

17425 Ocean One PLZ
Unit 2
Lewes, DE 19958-1924
Phone (302) 644-1039

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13-0001203DEMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Grifasi Eyecare and Optical, III, Inc. Optometrist CurrentSince Aug 3, 2003 Accepting new patients
Grifasi Eyecare & Optical II, Inc. Optometrist PastSince Nov 2, 2000 Accepting new patients
Grifasi Eyecare and Optical, Inc. Optometrist PastSince Aug 1, 1997 Accepting new patients

Locations

17252 N Village Main Blvd
Unit 6
Lewes, DE 19958
Phone (302) 644-1039

17425 Ocean One Plz
Unit 2
Lewes, DE 19958
Phone (302) 644-1039

Interoperability endpoints

  • Direct secure messaging: richard.grifasi@uprisedirect.com

Organizations & group practices 3

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": "1117584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550534400000",
    "number": "1881698116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17425 OCEAN ONE PLAZA",
            "address_2": "UNIT 2",
            "city": "LEWES",
            "state": "DE",
            "postal_code": "199586292",
            "telephone_number": "302-644-1039",
            "fax_number": "302-644-4393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17425 OCEAN ONE PLAZA",
            "address_2": "UNIT 2",
            "city": "LEWES",
            "state": "DE",
            "postal_code": "19958",
            "telephone_number": "302-644-1039"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17252 N Village Main Blvd",
            "address_2": "Unit 6",
            "address_purpose": "LOCATION",
            "city": "Lewes",
            "state": "DE",
            "postal_code": "199586292",
            "country_code": "US",
            "telephone_number": "302-644-1039",
            "fax_number": "302-644-4393",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRIFASI",
        "first_name": "RICHARD",
        "middle_name": "SALVATORE",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-01",
        "last_updated": "2019-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "DE",
            "license": "13-0001203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewes, DE

Sources for this page

Verify at the official NPI Registry.