Organization Active NPI

Grimmett Eye Care PLLC

  • Ophthalmology Physician
  • Palm Beach Gardens, FL
National Provider Identifier
1104819416
Registry record updated Aug 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
GRIMMETT EYE CARE PLLC
Practice address
3385 Burns Rd
Suite 209
Palm Beach Gardens, FL 33410-4328
Phone
(561) 691-3937
Fax
(561) 691-3992
NPI assigned
Aug 23, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2013

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

Authorized official

Name
Dr. Michael Ralph Grimmett, MDNPI 1083606750
Title
Managing Member Grimmett Eye Care
Phone
(561) 691-3937

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

3385 Burns Rd
Suite 209
Palm Beach Gardens, FL 33410-4328

Mailing address

3385 Burns Rd
Suite 209
Palm Beach Gardens, FL 33410-4328
Phone (561) 691-3937

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040730000149 FL Part B Supplier - Clinic/Group Practice 6406826015 Receives reassigned benefits from 1 practitioner
Practice locations: Palm Beach Gardens, FL; Jupiter, FL

National Provider Directory

National Provider Directory

Locations

3385 Burns Rd
Ste 209
Palm Beach Gardens, FL 33410
Phone (561) 622-3900

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1124755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377648000000",
    "number": "1104819416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3385 BURNS RD",
            "address_2": "SUITE 209",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334104328",
            "telephone_number": "561-691-3937",
            "fax_number": "561-691-3992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3385 BURNS RD",
            "address_2": "SUITE 209",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334104328",
            "telephone_number": "561-691-3937",
            "fax_number": "561-691-3992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRIMMETT EYE CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-23",
        "last_updated": "2013-08-28",
        "status": "A",
        "authorized_official_last_name": "GRIMMETT",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "RALPH",
        "authorized_official_title_or_position": "MANAGING MEMBER GRIMMETT EYE CARE",
        "authorized_official_telephone_number": "561-691-3937",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Beach Gardens, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.