Provider Demographics
NPI:1699974741
Name:GRIFFIN, ANNE (OD)
Entity type:Individual
Prefix:DR
First Name:ANNE
Middle Name:
Last Name:GRIFFIN
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:235 WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:SARATOGA SPRINGS
Mailing Address - State:NY
Mailing Address - Zip Code:12866-5962
Mailing Address - Country:US
Mailing Address - Phone:518-587-5900
Mailing Address - Fax:518-587-5938
Practice Address - Street 1:235 WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:SARATOGA SPRINGS
Practice Address - State:NY
Practice Address - Zip Code:12866-5962
Practice Address - Country:US
Practice Address - Phone:518-587-5900
Practice Address - Fax:518-587-5938
Is Sole Proprietor?:No
Enumeration Date:2007-07-17
Last Update Date:2015-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYTUV007170-1152W00000X, 152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY39674DMedicare PIN