Active NPI
George Raymond Grillo, OPTICIAN
- Optician
- Orlando, FL
National Provider Identifier
1699642355
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- 1414
- Practice address
- 8101 S John Young Pkwy
Orlando, FL 32819-9021 - Phone
- (407) 354-1238
- Fax
- (407) 354-2465
- NPI assigned
- Oct 18, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | 1414 | FL | Primary |
Addresses
Primary practice location
8101 S John Young Pkwy
Orlando, FL 32819-9021
Mailing address
1191 Siboney St
Saint Cloud, FL 34771-7567
Phone (954) 803-4326
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1414 | FL | MD | Optician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1760745600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1760745600000",
"number": "1699642355",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1191 SIBONEY ST",
"city": "SAINT CLOUD",
"state": "FL",
"postal_code": "347717567",
"telephone_number": "954-803-4326",
"fax_number": "407-354-2465"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8101 S JOHN YOUNG PKWY",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328199021",
"telephone_number": "407-354-1238",
"fax_number": "407-354-2465"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRILLO",
"first_name": "GEORGE",
"middle_name": "RAYMOND",
"credential": "OPTICIAN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-10-18",
"last_updated": "2025-10-18",
"certification_date": "2025-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "FL",
"license": "1414",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.