ANDREA NICOLE GRIFFIN (OD) – Optometrist, NPI 1063072478

ANDREA NICOLE GRIFFIN (OD) is a healthcare provider. based in Castle rock, Colorado. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. OPT.0003491 (CO). The NPI Number for ANDREA NICOLE GRIFFIN (OD) is 1063072478

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
ANDREA NICOLE GRIFFIN (OD)
NPI
1063072478
Phone
(720) 531-0688
Address
2356 MEADOWS BLVD STE 100B
Enumeration Date
18 June 2019
Last Update Date
14 September 2020

Doctor Profile

Medical School Name
UNIVERSITY OF HOUSTON - COLLEGE OF OPTOMETRY
Secondary Phone
3032205100
Graduation Year
2019 (7 years ago)
PAC ID
8426384892
Group Practice PAC ID
8820090954
Professional Enrollment ID
I20190723001190
Address ID
CO801111352GR4920XSTXX402
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:6State licenses:1Digital endpointsOther names

851 OPTOMETRY in CO

Provider Addresses for ANDREA NICOLE GRIFFIN (OD)

  • Meadows Boulevard, Castle Rock, Douglas County, Colorado, 80109, United States

    CASTLE ROCK, CO 801098410

    Phone: (720) 531-0688

    Type: Mailing

  • 10520 El Diente Ct Ste A

    Englewood, CO 801122656

    Phone: (720) 524-1001

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $37.

Total Amount is formed as General ($37) + Research ($0) + Ownership ($0) = $37.

Last reported payment date: 2023-12-11 • Largest payer in this snapshot: Bausch & Lomb Americas Inc. ($23).

Total Amount

$37

General + Research + Ownership

Payments

2

Total payment records

General Amount

$37

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-12-11

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2019-07-23

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20190723001190IOptometryCOTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
92250Photography of the retina230216$0
99213Established patient office or other outpatient visit, 20-29 minutes214176$0
92134Imaging of retina7667$0
92014Established patient complete exam of visual system7272$0
92133Imaging of optic nerve6757$0
View full utilization report →

Insurance plans in this area (ZIP 80109)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8820090954View full group profile
NameSpecialtyState
O P T O M E T R YCO
O P T O M E T R YCO
-CO
O P T O M E T R YFL
O P T O M E T R YCO
O P T O M E T R YCO
O P T O M E T R YCO
O P T O M E T R YCO

Reviews

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Frequently asked questions

Is ANDREA NICOLE GRIFFIN (OD) listed with a National Provider Identifier?
Yes — ANDREA NICOLE GRIFFIN (OD) has NPI 1063072478 on file in the registry.
Is ANDREA NICOLE GRIFFIN (OD) still an active registrant?
ANDREA NICOLE GRIFFIN (OD) carries an active NPI according to the public dataset.
What clinical focus is listed for ANDREA NICOLE GRIFFIN (OD)?
At a glance, ANDREA NICOLE GRIFFIN (OD) is tied to Optometrist. Clinical services aligned with this taxonomy classification.
Where in Colorado is ANDREA NICOLE GRIFFIN (OD) registered?
Use Castle Rock, Colorado as the headline location for ANDREA NICOLE GRIFFIN (OD) here.
When was this NPI issued?
Enumeration for ANDREA NICOLE GRIFFIN (OD) is noted as June 18, 2019 where the registry provides it.

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