Active NPI
Ronald Sherburne Grand, O.D.
- Optometrist
- Celebration, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPC0001995
- Practice address
- 741 Front St
Suite 120
Celebration, FL 34747-4991 - Phone
- (407) 566-2020
- Fax
- (407) 566-2010
- NPI assigned
- Oct 18, 2005
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPC0001995 | FL | Primary |
Addresses
Primary practice location
741 Front St
Suite 120
Celebration, FL 34747-4991
Mailing address
741 Front St
Suite 120
Celebration, FL 34747-4991
Phone (407) 566-2020
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 078924100 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090504000562 | FL | Practitioner - Optometry | 4385792217 | Reassigns benefits to 2 organizations |
| I20251007000370 | CT | Practitioner - Optometry | 4385792217 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- University of California - School of Optometry, 1967
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
407 Campus St
Celebration, FL 34747-4610
5 Dakota Dr
New Hyde Park, NY 11042-1188
5 Dakota Dr
Suite 307
New Hyde Park, NY 11042-1106
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OPC0001995 | FL | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family First Vision Care, PLLC | Optometrist | Current | Accepting new patients |
| Raffaele Inc | Current | Accepting new patients | |
| Myeyedr Optometry of Florida, LLC | Optometrist | Current | Accepting new patients |
| Myeyedr. Optometry of Florida, LLC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Florida, LLC | Optometrist | Current | Accepting new patients |
Locations
2100 Dixwell Ave
Hamden, CT 06514
Phone (203) 230-8019
3011 W Yamato Rd
Ste A19
Boca Raton, FL 33434
Phone (561) 995-9600
2140 Crawfordville Hwy
Crawfordville, FL 32327
Phone (850) 926-9213
6419 W Newberry Rd
Ste B3
Gainesville, FL 32605
Phone (352) 331-6321
359 Marsh Landing Pkwy
Jacksonville Beach, FL 32250
Phone (904) 280-0011
1480 Timberlane Rd
Tallahassee, FL 32312
Phone (850) 878-1601
316 S Hamilton Rd
Gahanna, OH 43230
8614 Westwood Center Dr
Fl 9
Vienna, VA 22182
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Optometrist
- Clearwater, FL
- NPI 1730054594
-
- Optometrist
- Fort Pierce, FL
- NPI 1932841731
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129593600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1251936000000",
"number": "1952390460",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "741 FRONT ST",
"address_2": "SUITE 120",
"city": "CELEBRATION",
"state": "FL",
"postal_code": "347474991",
"telephone_number": "407-566-2020",
"fax_number": "407-566-2010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "741 FRONT ST",
"address_2": "SUITE 120",
"city": "CELEBRATION",
"state": "FL",
"postal_code": "347474991",
"telephone_number": "407-566-2020",
"fax_number": "407-566-2010"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAND",
"first_name": "RONALD",
"middle_name": "SHERBURNE",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-18",
"last_updated": "2009-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "FL",
"license": "OPC0001995",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "078924100",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Celebration, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.