Individual provider Active NPI

Charles N Griffen Jr., OD

  • Optometrist
  • Malvern, PA
National Provider Identifier
1942297098
Registry record updated Feb 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG000170 Issued in PA
Practice address
270 Lancaster Ave
Suite F1
Malvern, PA 19355-1858
Phone
(610) 647-6550
Fax
(610) 647-6549
NPI assigned
Oct 4, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 15, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG000170 PA Primary

Addresses

Primary practice location

270 Lancaster Ave
Suite F1
Malvern, PA 19355-1858

Mailing address

270 W Lancaster Ave
Suite F1
Malvern, PA 19355-1858
Phone (610) 647-6550

Other identifiers 1

IdentifierTypeStateIssuer
50877OtherAETNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20101004000152 PA Practitioner - Optometry 1658494331 Reassigns benefits to 1 organization
Receives reassigned benefits from 1 practitioner
Practice locations: Malvern, PA

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fab Eye Care Center PCGroup PAC ID 3971914268, 5 clinicians

Practice addresses (Care Compare)

270 Lancaster Ave
Suite F1
Malvern, PA 19355-1858
Phone (610) 933-1144

286 Griffen St
Phoenixville, PA 19460-4448
Phone (610) 933-1144

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Fab Eye Care Center, PC Optometrist CurrentSince Jan 1, 2024 Accepting new patients
Fab Eye Care Center, PC Optometrist CurrentSince Jan 1, 2024 Accepting new patients

Locations

270 Lancaster Ave
Ste F1
Malvern, PA 19355
Phone (215) 647-6550

286 Griffen St
Phoenixville, PA 19460
Phone (610) 933-1144

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1128384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203033600000",
    "number": "1942297098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "270 W LANCASTER AVE",
            "address_2": "SUITE F1",
            "city": "MALVERN",
            "state": "PA",
            "postal_code": "193551858",
            "telephone_number": "610-647-6550",
            "fax_number": "610-647-6549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270 LANCASTER AVE",
            "address_2": "SUITE F1",
            "city": "MALVERN",
            "state": "PA",
            "postal_code": "193551858",
            "telephone_number": "610-647-6550",
            "fax_number": "610-647-6549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIFFEN",
        "first_name": "CHARLES",
        "middle_name": "N",
        "name_suffix": "Jr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-04",
        "last_updated": "2008-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG000170",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "50877",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Malvern, PA

Sources for this page

Verify at the official NPI Registry.