Individual provider Active NPI

Carina Michele Grand, OD

  • Optometrist
  • Celebration, FL
National Provider Identifier
1659156503
Registry record updated Aug 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC6343 Issued in FL
Practice address
741 Front St Ste 120
Celebration, FL 34747-4990
Phone
(407) 566-2020
NPI assigned
Aug 29, 2023
Last updated
Aug 30, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC6343 FL Primary

Addresses

Primary practice location

741 Front St Ste 120
Celebration, FL 34747-4990

Mailing address

741 Front St Ste 120
Celebration, FL 34747-4990
Phone (407) 566-2020

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
I20240223000490 FL Practitioner - Optometry 9436593993 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Celebration Eye CareGroup PAC ID 8224186150, 2 clinicians

Practice addresses (Care Compare)

741 Front St
Suite 120
Celebration, FL 34747-4990
Phone (407) 566-2020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Celebration Eye Care Optometrist CurrentSince Jan 6, 2024 Accepting new patients

Locations

741 Front St
Ste 120
Kissimmee, FL 34747
Phone (407) 566-2020

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1693267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693353600000",
    "number": "1659156503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "741 FRONT ST STE 120",
            "city": "CELEBRATION",
            "state": "FL",
            "postal_code": "347474990",
            "telephone_number": "407-566-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "741 FRONT ST STE 120",
            "city": "CELEBRATION",
            "state": "FL",
            "postal_code": "347474990",
            "telephone_number": "407-566-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAND",
        "first_name": "CARINA",
        "middle_name": "MICHELE",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-29",
        "last_updated": "2023-08-30",
        "certification_date": "2023-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC6343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Celebration, FL

Sources for this page

Verify at the official NPI Registry.