Robert Marc Grossmann, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC1536 Issued in FL

Practice address

110 Yorktowne Dr
Daytona Beach, FL 32119-1471

Phone

(386) 788-6696

Fax

(386) 788-2219

NPI assigned

Nov 10, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 5

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

Specialty

Optometry

Education

Illinois College of Optometry at Chicago, 1979

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Filutowski Eye Institute PAGroup PAC ID 6406843945, 11 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

85.04 of 100Reported as group

Quality

97.77

Improvement activities

40

Cost

53.12

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: robert.grossmannod.p3@direct.fcli.nextgenshare.com
• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Filutowski Eye Institute PA

  • Clinic/Center
  • Daytona Beach, FL
  • NPI 1306910385
  Medicare reassignment Care Compare group NPD
• Filutowski Eye Institute PA

  • Clinic/Center
  • Orlando, FL
  • NPI 1134290356
  NPD
• Filutowski Eye Institute PA

  • Ambulatory Surgical Clinic/Center
  • Daytona Beach, FL
  • NPI 1760594279
  NPD (past)

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

{
    "created_epoch": "1163116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423440000000",
    "number": "1306917554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1070 GREENWOOD BLVD",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327465404",
            "telephone_number": "407-333-5111",
            "fax_number": "407-333-2434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 YORKTOWNE DR",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321191471",
            "telephone_number": "386-788-6696",
            "fax_number": "386-788-2219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROSSMANN",
        "first_name": "ROBERT",
        "middle_name": "MARC",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-10",
        "last_updated": "2015-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC1536",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSFL",
            "identifier": "19084",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "621246800",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "7952591",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5068158",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "0101597",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cornelia Alice Griffin, N.P.
• Lissette Grillo
• Jeremy Robert Grimes, MD
• Reni A Grimes, M.D.
• Kristine Gromlovits
• Christopher Allen Grove, MD
• Growing Pain LLC
• Lisa Grubbs, APRN-
• Megan Gruden, PA-C
• Guidewell Medical Group, Inc.

• Optometrist in Daytona Beach, FL
• Providers in Daytona Beach, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.