Provider Demographics
NPI:1497032866
Name:GRIFFIS, NATASHA ELLEN (OD)
Entity Type:Individual
Prefix:DR
First Name:NATASHA
Middle Name:ELLEN
Last Name:GRIFFIS
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
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Mailing Address - Street 1:159 EXPRESS ST.
Mailing Address - Street 2:C/O DAVIS VISION
Mailing Address - City:PLAINVIEW
Mailing Address - State:NY
Mailing Address - Zip Code:11803
Mailing Address - Country:US
Mailing Address - Phone:516-827-6727
Mailing Address - Fax:516-733-5508
Practice Address - Street 1:1551 NIAGARA FALLS BLVD
Practice Address - Street 2:SVS VISION OPTICAL CENTERS
Practice Address - City:AMHERST
Practice Address - State:NY
Practice Address - Zip Code:14228-2703
Practice Address - Country:US
Practice Address - Phone:716-832-6172
Practice Address - Fax:716-832-6177
Is Sole Proprietor?:No
Enumeration Date:2011-11-12
Last Update Date:2016-03-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NYTUV007772-1152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist