Briana K Grimaldi, OD
Individual provider Active NPI Optometrist · Evesham, NJ
NPI 1740914639 · NPPES record last updated Oct 7, 2025
Key facts
- NPI
- 1740914639
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 27OA00714800 (NJ)
- Practice address
- 65 Route 70 E
Evesham, NJ 08053-1747 - Phone
- (856) 596-4416
- Fax
- (856) 596-6566
- NPI assigned
- Jul 15, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220916001447 | NJ | Practitioner - Optometry | 7315322047 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Evesham Eye Associates, Inc. | Optometrist | Current |
Accepting new patients |
| Refocus Eye Health of Central Connecticut, P.C. | Optometrist | Current | Accepting new patients |
| Marlton Eye Associates, PC | Optometrist | Past |
Accepting new patients |
Locations
65 Route 70 E
Marlton, NJ 08053
Phone (856) 596-4416
65 Route 70 E
Ste 3
Marlton, NJ 08053
Phone (856) 596-4416
Interoperability endpoints
- bgrimaldi@refocus.intellechartdirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 27OA00714800 | NJ | Yes |
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
Other providers in Evesham, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 7, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.