Individual provider Active NPI

Lauren E Grillot, OD

  • Optometrist
  • Minster, OH
National Provider Identifier
1669786992
Registry record updated May 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5945 Issued in OH
Practice address
32 S Main St
Minster, OH 45865-1303
Phone
(567) 603-3172
Fax
(567) 603-3180
NPI assigned
Jul 28, 2010
Last updated
May 19, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X T2860 OH
Optometrist 152W00000X 5945 OH Primary

Addresses

Primary practice location

32 S Main St
Minster, OH 45865-1303

Mailing address

32 S Main St
Minster, OH 45865-1303
Phone (567) 603-3172

Other practice location 1

1861 Towne Park Dr Ste A
Troy, OH 45373-2067
Phone (937) 339-7956

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20101015000750 OH Practitioner - Optometry 9537352018 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University College of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Inspired Eyes LLCGroup PAC ID 2062891682, 3 clinicians

Practice addresses (Care Compare)

32 S Main St
Minster, OH 45865-1303
Phone (567) 603-3172

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5945OHMDOptometrist
T2860OHMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Inspired Eyes LLC Optometrist CurrentSince Aug 3, 2021 Accepting new patients
Optometric Management Group LLC Optometrist Past Accepting new patients

Locations

32 S Main St
Minster, OH 45865
Phone (567) 603-3172

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, 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": "1280275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652918400000",
    "number": "1669786992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 S MAIN ST",
            "city": "MINSTER",
            "state": "OH",
            "postal_code": "458651303",
            "telephone_number": "567-603-3172",
            "fax_number": "567-603-3180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 S MAIN ST",
            "city": "MINSTER",
            "state": "OH",
            "postal_code": "458651303",
            "telephone_number": "567-603-3172",
            "fax_number": "567-603-3180"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1861 Towne Park Dr Ste A",
            "address_purpose": "LOCATION",
            "city": "Troy",
            "state": "OH",
            "postal_code": "453732067",
            "country_code": "US",
            "telephone_number": "937-339-7956",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRILLOT",
        "first_name": "LAUREN",
        "middle_name": "E",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-28",
        "last_updated": "2022-05-19",
        "certification_date": "2022-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "T2860",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "5945",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minster, OH

Sources for this page

Verify at the official NPI Registry.