Individual provider Active NPI

Margaret Louise Grand, O.D.

  • Optometrist
  • Celebration, FL
National Provider Identifier
1043209117
Registry record updated Sep 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC002049 Issued in FL
Practice address
741 Front St
Suite 120
Celebration, FL 34747-4991
Phone
(407) 566-2020
NPI assigned
Oct 20, 2005
Last updated
Sep 1, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC002049 FL Primary

Addresses

Primary practice location

741 Front St
Suite 120
Celebration, FL 34747-4991

Mailing address

741 Front St
Ste 120
Celebration, FL 34747-4991
Phone (407) 566-2020

Other identifiers 1

IdentifierTypeStateIssuer
078924100MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090504000597 FL Practitioner - Optometry 2365590296 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Celebration Eye CareGroup PAC ID 8224186150, 2 clinicians

Practice addresses (Care Compare)

741 Front St
Suite 120
Celebration, FL 34747-4990
Phone (407) 566-2020

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPC002049FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Celebration Eye Care Optometrist CurrentSince Mar 18, 2009 Accepting new patients

Locations

741 Front St
Ste 120
Kissimmee, FL 34747
Phone (407) 566-2020

Interoperability endpoints

  • Direct secure messaging: drgrand@celebrationeyecare.direct.eyemdemr.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1129766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251763200000",
    "number": "1043209117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "741 FRONT ST",
            "address_2": "STE 120",
            "city": "CELEBRATION",
            "state": "FL",
            "postal_code": "347474991",
            "telephone_number": "407-566-2020",
            "fax_number": "407-566-2010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "741 FRONT ST",
            "address_2": "SUITE 120",
            "city": "CELEBRATION",
            "state": "FL",
            "postal_code": "347474991",
            "telephone_number": "407-566-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAND",
        "first_name": "MARGARET",
        "middle_name": "LOUISE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-20",
        "last_updated": "2009-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC002049",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "078924100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Celebration, FL

Sources for this page

Verify at the official NPI Registry.