Individual provider Active NPI

Briana K Grimaldi, OD

  • Optometrist
  • Evesham, NJ
National Provider Identifier
1740914639
Registry record updated Oct 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
27OA00714800 Issued in NJ
Practice address
65 Route 70 E
Evesham, NJ 08053-1747
Phone
(856) 596-4416
Fax
(856) 596-6566
NPI assigned
Jul 15, 2022
Last updated
Oct 7, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 27OA00714800 NJ Primary

Addresses

Primary practice location

65 Route 70 E
Evesham, NJ 08053-1747

Mailing address

65 Route 70 E
Marlton, NJ 08053-1747
Phone (856) 596-4416

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20220916001447 NJ Practitioner - Optometry 7315322047 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
27OA00714800NJMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Refocus Eye Health of Central Connecticut, P.C. Optometrist Current Accepting new patients
Evesham Eye Associates, Inc. Optometrist CurrentSince Feb 10, 2026 Accepting new patients
Marlton Eye Associates, PC Optometrist PastSince Oct 12, 2025 Accepting new patients

Locations

65 Route 70 E
Ste 3
Marlton, NJ 08053
Phone (856) 596-4416

Interoperability endpoints

  • Direct secure messaging: bgrimaldi@refocus.intellechartdirect.net

Organizations & group practices 3

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": "1657843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759795200000",
    "number": "1740914639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 ROUTE 70 E",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080531747",
            "telephone_number": "856-596-4416",
            "fax_number": "856-596-6566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 ROUTE 70 E",
            "city": "EVESHAM",
            "state": "NJ",
            "postal_code": "080531747",
            "telephone_number": "856-596-4416",
            "fax_number": "856-596-6566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIMALDI",
        "first_name": "BRIANA",
        "middle_name": "K",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-15",
        "last_updated": "2025-10-07",
        "certification_date": "2025-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00714800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evesham, NJ

Sources for this page

Verify at the official NPI Registry.