Individual provider Active NPI

Ann Marie Griff, O.D.

  • Optometrist
  • Mercer Island, WA
National Provider Identifier
1942391628
Registry record updated Jan 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OD00003038TX Issued in WA
Practice address
2448 76TH Ave SE
Suite 106
Mercer Island, WA 98040-2781
Phone
(206) 232-1633
Fax
(206) 232-2502
NPI assigned
Sep 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OD00003038TX WA Primary

Addresses

Primary practice location

2448 76TH Ave SE
Suite 106
Mercer Island, WA 98040-2781

Mailing address

2448 76TH Ave SE
Suite 106
Mercer Island, WA 98040-2781
Phone (206) 232-1633

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20090727000073 WA Practitioner - Optometry 6002969979 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OD00003038TXWAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Sea Family Eye Care, PLLC Optometrist CurrentSince Mar 1, 2020 Accepting new patients

Locations

2448 76th Ave SE
Ste 106
Mercer Island, WA 98040
Phone (206) 232-1633

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.

NPI Registry JSON

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421798400000",
    "number": "1942391628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2448 76TH AVE SE",
            "address_2": "SUITE 106",
            "city": "MERCER ISLAND",
            "state": "WA",
            "postal_code": "980402781",
            "telephone_number": "206-232-1633",
            "fax_number": "206-232-2502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2448 76TH AVE SE",
            "address_2": "SUITE 106",
            "city": "MERCER ISLAND",
            "state": "WA",
            "postal_code": "980402781",
            "telephone_number": "206-232-1633",
            "fax_number": "206-232-2502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIFF",
        "first_name": "ANN",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-27",
        "last_updated": "2015-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "OD00003038TX",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mercer Island, WA

Sources for this page

Verify at the official NPI Registry.