Individual
DR. JASON C GRIFFITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
140 W HILLCREST DR, SUITE 112, THOUSAND OAKS, CA 91360-4221
(805) 497-6964
Mailing address
140 W HILLCREST DR, SUITE 112, THOUSAND OAKS, CA 91360-4221
(805) 497-6964
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
11638T
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1154309789
NPI
CA
01
—
11638T
CALIFORNIA BOARD OF OPTOMETRY
CA
Enumeration date
01/04/2006
Last updated
05/27/2008
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