Active NPI
Celebration Eye Care
- Optometrist
- Celebration, FL
National Provider Identifier
1366624769
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPC1995, OPC 2049
- Legal business name
- CELEBRATION EYE CARE
- Practice address
- 741 Front St
Suite 120
Celebration, FL 34747-4991 - Phone
- (407) 566-2020
- NPI assigned
- Nov 28, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Ronald Grand, O.D.
- Title
- Optometrist
- Phone
- (407) 460-0516
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPC1995, OPC 2049 | FL | Primary |
Addresses
Primary practice location
741 Front St
Suite 120
Celebration, FL 34747-4991
Mailing address
741 Front St
Suite 120
Celebration, FL 34747-4991
Phone (407) 566-2020
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0789241-00 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090504000467 | FL | Part B Supplier - Clinic/Group Practice | 8224186150 |
Receives reassigned benefits from 2 practitioners Practice locations: Celebration, FL |
National Provider Directory
National Provider DirectoryLocations
741 Front St
Ste 120
Kissimmee, FL 34747
Phone (407) 566-2020
Practitioners & affiliated clinicians
Practitioners 2
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": "1196208000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1251763200000",
"number": "1366624769",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "741 FRONT ST",
"address_2": "SUITE 120",
"city": "CELEBRATION",
"state": "FL",
"postal_code": "347474991",
"telephone_number": "407-566-2020"
},
{
"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": {
"organization_name": "CELEBRATION EYE CARE",
"organizational_subpart": "NO",
"enumeration_date": "2007-11-28",
"last_updated": "2009-09-01",
"status": "A",
"authorized_official_last_name": "GRAND",
"authorized_official_first_name": "RONALD",
"authorized_official_title_or_position": "OPTOMETRIST",
"authorized_official_telephone_number": "407-460-0516",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "FL",
"license": "OPC1995, OPC 2049",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0789241-00",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Celebration, FL
- Anna Quynh-an Cat, PHARMD
- Nina Ann Cavalli, M.D.
- Roland Dominic Cayer, DC
- Lindsay Jackson Celauro, PHARMD
- Celebration Cardiothoracic Surgery Associates PLLC
- Celebration Family Chiropractic
- Celebration Family Chiropractic Clinic Inc
- Celebration Family Physicians LLC
- Celebration Foot & Ankle Institute PA
- Celebration Minimally Invasive Spine Institute
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2009; 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.