Active NPI
Allen Dale Griffiths, OD
- Optometrist
- Washington CH, OH
National Provider Identifier
1891703880
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 3122
- Practice address
- 239 E Court St
Washington CH, OH 43160-1357 - Phone
- (740) 335-2771
- Fax
- (743) 335-2771
- NPI assigned
- Aug 4, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 3122 | OH | Primary |
| Optometrist | 152W00000X | T2271 | OH |
Addresses
Primary practice location
239 E Court St
Washington CH, OH 43160-1357
Mailing address
239 E Court St
Washington CH, OH 43160-1357
Phone (740) 335-2771
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 410046181 | Other | OH | RAILROAD MEDICARE |
| 0259054 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3122 | OH | MD | Optometrist |
| T2271 | OH | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allen D Griffiths | Optometrist | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Optometrist
- Washington Court House, OH
- NPI 1114288172
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154649600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1238371200000",
"number": "1891703880",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "239 E COURT ST",
"city": "WASHINGTON CH",
"state": "OH",
"postal_code": "431601357",
"telephone_number": "740-335-2771",
"fax_number": "743-335-2771"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "239 E COURT ST",
"city": "WASHINGTON CH",
"state": "OH",
"postal_code": "431601357",
"telephone_number": "740-335-2771",
"fax_number": "743-335-2771"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRIFFITHS",
"first_name": "ALLEN",
"middle_name": "DALE",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-04",
"last_updated": "2009-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "OH",
"license": "3122",
"primary": true
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "OH",
"license": "T2271",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "410046181",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0259054",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Washington CH, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2009; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.