Judith Holloway Grifasi, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

TA1122 Issued in MD

Practice address

2015-C Pulaski Highway
Havre de Grace, MD 21078-2144

Phone

(410) 939-7717

Fax

(410) 939-7739

NPI assigned

Jun 1, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

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

Specialty

Optometry

Education

Pennsylvania College of Optometry, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Grifasi Eyecare & Optical II, Inc.

  • Optometrist
  • Havre de Grace, MD
  • NPI 1073549416
  Medicare reassignment NPD Authorized official
• Grifasi Eyecare and Optical, Inc.

  • Optometrist
  • Elkton, MD
  • NPI 1083640429
  NPD (past) Authorized official

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

{
    "created_epoch": "1117584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1237334400000",
    "number": "1912909292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2015-C PULASKI HIGHWAY",
            "city": "HAVRE DE GRACE",
            "state": "MD",
            "postal_code": "210782144",
            "telephone_number": "410-939-7717",
            "fax_number": "410-939-7739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2015-C PULASKI HIGHWAY",
            "city": "HAVRE DE GRACE",
            "state": "MD",
            "postal_code": "210782144",
            "telephone_number": "410-939-7717",
            "fax_number": "410-939-7739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIFASI",
        "first_name": "JUDITH",
        "middle_name": "HOLLOWAY",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-01",
        "last_updated": "2009-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MD",
            "license": "TA1122",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "DE",
            "license": "1200",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen M Gotzmann, M.D.
• Grace Home Medical Equipment LLC
• Amanda Graziano, MA
• Rachel Grden, LGSW
• Grifasi Eyecare & Optical II, Inc.
• Aubrey Griffin
• Kayla Guanzon, CRNP
• Erick Christopher Guzman, PH.D.
• Jessica Young Won Hahm, O.D.
• Halpern Eye Care of Maryland, Inc.

• Optometrist in Havre de Grace, MD
• Providers in Havre de Grace, MD by specialty
• Optometrist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 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.
• 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.

Verify at the official NPI Registry.