Provider Demographics
NPI:1376767905
Name:SEE, DIANE GRIFFITH (OD)
Entity Type:Individual
Prefix:DR
First Name:DIANE
Middle Name:GRIFFITH
Last Name:SEE
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 1:363 S A ST
Mailing Address - Street 2:
Mailing Address - City:OXNARD
Mailing Address - State:CA
Mailing Address - Zip Code:93030-5804
Mailing Address - Country:US
Mailing Address - Phone:805-483-6619
Mailing Address - Fax:
Practice Address - Street 1:363 S A ST
Practice Address - Street 2:
Practice Address - City:OXNARD
Practice Address - State:CA
Practice Address - Zip Code:93030-5804
Practice Address - Country:US
Practice Address - Phone:805-483-6619
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-13
Last Update Date:2018-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA8477TPG152W00000X
SC1277152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist