Karen Griffith OD a Professional Optometry Corporation

Primary specialty

OptometristTaxonomy code 152W00000X

License

9002TL Issued in CA

Legal business name

KAREN GRIFFITH OD A PROFESSIONAL OPTOMETRY CORPORATION

Practice address

320 Petaluma Blvd S
Petaluma, CA 94952-4245

Phone

(707) 762-8643

NPI assigned

Feb 11, 2009

Organization subpart

No

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

Authorized official

Name

Karen Griffith, ODNPI 1659372365

Title

President

Phone

(707) 762-8643

Specialties & licenses 1

Addresses

Other names 1

• Westside Optometry Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

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

• Karen Ann Griffith, OD

  • Optometrist
  • Petaluma, CA
  • NPI 1659372365
  Medicare reassignment Care Compare group NPD Authorized official
• Kelly Staton, O.D.

  • Optometrist
  • Petaluma, CA
  • NPI 1548302649
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1234310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241136000000",
    "number": "1992944185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 PETALUMA BLVD S",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949524245",
            "telephone_number": "707-762-8643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 PETALUMA BLVD S",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949524245",
            "telephone_number": "707-762-8643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAREN GRIFFITH OD A PROFESSIONAL OPTOMETRY CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-11",
        "last_updated": "2009-05-01",
        "status": "A",
        "authorized_official_last_name": "GRIFFITH",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "707-762-8643",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "9002TL",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Westside Optometry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amina Kamal
• Caroline Kane, NBC-HWC
• Jody Kane
• Rachel Margo Kaplan, MFT
• Bryan Kappe
• Ebenezer Karikari
• Claudia Karkia, B.D.S.
• Adrienne Patrice Kassis, M.D.
• Mitchell Kauk, PT OCS
• Manjit K. Kaura

• Optometrist in Petaluma, CA
• Providers in Petaluma, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.