Individual provider Active NPI

Anthony Grillo, M.D.

  • Cornea and External Diseases Specialist Physician
  • Lacey, WA
National Provider Identifier
1104117589
Registry record updated Jan 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cornea and External Diseases Specialist PhysicianTaxonomy code 207WX0120X
License
MD61233895 Issued in WA
Practice address
345 College St SE Ste C
Lacey, WA 98503-1014
Phone
(360) 456-3200
Fax
(360) 539-3443
NPI assigned
Apr 20, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cornea and External Diseases Specialist Physician 207WX0120X MD61233895 WA Primary

Addresses

Primary practice location

345 College St SE Ste C
Lacey, WA 98503-1014

Mailing address

345 College St SE Ste C
Lacey, WA 98503-1014
Phone (360) 456-3200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220515000024 WA Practitioner - Ophthalmology 8921253600 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Un of California, Irvine, College of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Physicians of Olympia Inc PSGroup PAC ID 8123916962, 13 clinicians

Practice addresses (Care Compare)

345 College St SE
Suite C
Lacey, WA 98503-1014
Phone (360) 456-3200

Merit-based Incentive Payment System (MIPS)

Final score
93.08 of 100Reported as group
Quality
100
Improvement activities
40
Cost
76.93

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery516

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Physicians of Olympia Inc PS CurrentSince Jul 1, 2022 Accepting new patients
Eye Physicians of Olympia Inc PS CurrentSince Jul 1, 2022 Accepting new patients

Locations

724 Columbia St NW
Ste 100
Olympia, WA 98501
Phone (360) 357-4848

345 College St SE
Ste A
Olympia, WA 98503
Phone (360) 456-7070

215 Lilly Rd NE
Olympia, WA 98506
Phone (360) 456-3200

345 College St SE
Ste C
Olympia, WA 98503
Phone (360) 456-3200

Interoperability endpoints

  • Direct secure messaging: agrillo@clarus.direct.eyemdemr.com

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1303257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768262400000",
    "number": "1104117589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 COLLEGE ST SE STE C",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985031014",
            "telephone_number": "360-456-3200",
            "fax_number": "360-539-3443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 COLLEGE ST SE STE C",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985031014",
            "telephone_number": "360-456-3200",
            "fax_number": "360-539-3443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRILLO",
        "first_name": "ANTHONY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-04-20",
        "last_updated": "2026-01-13",
        "certification_date": "2026-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0120X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Cornea and External Diseases Specialist",
            "state": "WA",
            "license": "MD61233895",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lacey, WA

Sources for this page

Verify at the official NPI Registry.