Individual provider Active NPI

Tara Tiffany Griguere, OD

  • Optometrist
  • Aventura, FL
National Provider Identifier
1245084276
Registry record updated Jan 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC6483 Issued in FL
Practice address
20353 W Country Club Dr Unit 18
Aventura, FL 33180-1631
Phone
(786) 583-5574
NPI assigned
Apr 16, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 29, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC6483 FL Primary

Addresses

Primary practice location

20353 W Country Club Dr Unit 18
Aventura, FL 33180-1631

Mailing address

20353 W Country Club Dr Unit 18
Aventura, FL 33180-1631
Phone (786) 583-5574

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
I20260319001763 FL Practitioner - Optometry 5799269577 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Docs on Wheels IncGroup PAC ID 5395230247, 3 clinicians

Practice addresses (Care Compare)

1457 SE Crosswood Way
Port Saint Lucie, FL 34984-2321
Phone (772) 485-6911

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPC6483FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Docs on Wheels Inc Optometrist CurrentSince Jan 19, 2026 Accepting new patients
Tara Griguere OD PLLC Optometrist Past Accepting new patients

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": "1713225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769644800000",
    "number": "1245084276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20353 W COUNTRY CLUB DR UNIT 18",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331801631",
            "telephone_number": "786-583-5574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20353 W COUNTRY CLUB DR UNIT 18",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331801631",
            "telephone_number": "786-583-5574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIGUERE",
        "first_name": "TARA",
        "middle_name": "TIFFANY",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-16",
        "last_updated": "2026-01-29",
        "certification_date": "2026-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC6483",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aventura, FL

Sources for this page

Verify at the official NPI Registry.