NPIMap

Organization Active NPI

Grillo Monroe Optometry LLC

Doing business as The Eye Dr

  • Optometrist
  • Brandon, FL
National Provider Identifier
1629260500
Registry record updated Oct 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC3473 Issued in FL
Legal business name
GRILLO MONROE OPTOMETRY LLC
Doing business as
The Eye Dr
Practice address
945 E Brandon Blvd
Brandon, FL 33511-5500
Phone
(813) 662-3937
Fax
(813) 662-5367
NPI assigned
Aug 14, 2007
Last updated
Oct 17, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2007

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

Authorized official

Name
Dr. Teresa Maria Grillo, OD
Title
Owner
Phone
(813) 662-3937

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC3473 FL Primary

Addresses

Primary practice location

945 E Brandon Blvd
Brandon, FL 33511-5500

Mailing address

945 E Brandon Blvd
Brandon, FL 33511-5500
Phone (813) 662-3937

Other names 1

  • THE EYE DR Doing business as

National Provider Directory

National Provider Directory

Locations

400 E Martin Luther King Blvd
Tampa, FL 33603
Phone (813) 308-4040

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1187049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192579200000",
    "number": "1629260500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "945 E BRANDON BLVD",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335115500",
            "telephone_number": "813-662-3937",
            "fax_number": "813-662-5367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "945 E BRANDON BLVD",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335115500",
            "telephone_number": "813-662-3937",
            "fax_number": "813-662-5367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRILLO MONROE OPTOMETRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-14",
        "last_updated": "2007-10-17",
        "status": "A",
        "authorized_official_last_name": "GRILLO",
        "authorized_official_first_name": "TERESA",
        "authorized_official_middle_name": "MARIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-662-3937",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC3473",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "THE EYE DR",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brandon, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.