Active NPI
Grillo & Company
- Optometrist
- Bowie, MD
National Provider Identifier
1699106740
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- TA1396
- Legal business name
- GRILLO & COMPANY
- Practice address
- 16701 Melford Blvd
Suite 400-#3487
Bowie, MD 20715-4411 - Phone
- (443) 204-3939
- Fax
- (888) 609-9664
- NPI assigned
- Nov 27, 2013
- 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. Teresa Maria Grillo, O.D.
- Title
- Managing Member
- Phone
- (443) 204-3939
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | TA1396 | MD | Primary |
Addresses
Primary practice location
16701 Melford Blvd
Suite 400-#3487
Bowie, MD 20715-4411
Mailing address
16701 Melford Blvd
Suite 400-#3487
Bowie, MD 20715-4411
Phone (443) 204-3939
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
16701 Melford Blvd
Ste 4003487
Bowie, MD 20715
Phone (443) 204-3939
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Bowie, MD
- NPI 1134234735
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1385510400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1760313600000",
"number": "1699106740",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16701 MELFORD BLVD",
"address_2": "SUITE 400-#3487",
"city": "BOWIE",
"state": "MD",
"postal_code": "207154411",
"telephone_number": "443-204-3939",
"fax_number": "888-609-9664"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16701 MELFORD BLVD",
"address_2": "SUITE 400-#3487",
"city": "BOWIE",
"state": "MD",
"postal_code": "207154411",
"telephone_number": "443-204-3939",
"fax_number": "888-609-9664"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GRILLO & COMPANY",
"organizational_subpart": "NO",
"enumeration_date": "2013-11-27",
"last_updated": "2025-10-13",
"certification_date": "2025-10-13",
"status": "A",
"authorized_official_last_name": "GRILLO",
"authorized_official_first_name": "TERESA",
"authorized_official_middle_name": "MARIA",
"authorized_official_title_or_position": "MANAGING MEMBER",
"authorized_official_telephone_number": "443-204-3939",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "MD",
"license": "TA1396",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bowie, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2025; 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.