Organization Active NPI

Mobile Eye Care LLC

  • Optometrist
  • Bowie, MD
National Provider Identifier
1811865330
Registry record updated Dec 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
MOBILE EYE CARE LLC
Practice address
16701 Melford Blvd Ste 400-3487
Bowie, MD 20715-4411
Phone
(443) 204-3939
Fax
(888) 609-9664
NPI assigned
Oct 27, 2025
Last updated
Dec 23, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2025

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.NPI 1134234735
Title
Sole Managing Member - Owner
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)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

16701 Melford Blvd Ste 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, DC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20251215001156 MD Part B Supplier - Clinic/Group Practice 1254825474 Receives reassigned benefits from 1 practitioner
Practice locations: Linthicum Heights, MD
O20251216002506 DC Part B Supplier - Clinic/Group Practice 1254825474 Receives reassigned benefits from 1 practitioner
Practice locations: Bowie, MD

National Provider Directory

National Provider Directory

Locations

1190 Winterson Rd
Ste 200
Linthicum Hts, MD 21090
Phone (443) 201-6063

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1761523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1766448000000",
    "number": "1811865330",
    "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 STE 400-3487",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207154411",
            "telephone_number": "443-204-3939",
            "fax_number": "888-609-9664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE EYE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-27",
        "last_updated": "2025-12-23",
        "certification_date": "2025-12-23",
        "status": "A",
        "authorized_official_last_name": "GRILLO",
        "authorized_official_first_name": "TERESA",
        "authorized_official_middle_name": "MARIA",
        "authorized_official_title_or_position": "SOLE MANAGING MEMBER - OWNER",
        "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": null,
            "license": null,
            "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 Dec 23, 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.

Verify at the official NPI Registry.