Active NPI
Charles N Griffen Jr., OD
- Optometrist
- Malvern, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OEG000170
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 50877 | Other | AETNA |
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
Enrollment records 1
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
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
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fab Eye Care Center, PC | Optometrist | Current | Accepting new patients |
| Fab Eye Care Center, PC | Optometrist | Current | 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.
-
- Optometrist
- Philadelphia, PA
- NPI 1699020404
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.
-
- Optometrist
- Phoenixville, PA
- NPI 1265042121
-
- Optometrist
- Malvern, PA
- NPI 1851169163
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2008; 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.