Organization
GRIFFINTED P D D INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TED POWERS GRIFFIN JR. OD (OWNER)
(949) 495-3031
Entity
Organization
Contact information
Practice address
140 AVENIDA DEL MAR, SAN CLEMENTE, CA 92672-4016
(949) 492-1853
Mailing address
140 AVENIDA DEL MAR, SAN CLEMENTE, CA 92672-4016
(949) 492-1853
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
09/19/2007
Last updated
03/05/2015
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