Individual provider Active NPI

Ronald Sherburne Grand, O.D.

  • Optometrist
  • Celebration, FL
National Provider Identifier
1952390460
Registry record updated Sep 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC0001995 Issued in FL
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

Updated by the provider on Sep 3, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
078924100MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, CT2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
OPC0001995FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Family First Vision Care, PLLC Optometrist CurrentSince Nov 17, 2025 Accepting new patients
Raffaele Inc CurrentSince Oct 2, 2025 Accepting new patients
Myeyedr Optometry of Florida, LLC Optometrist Current Accepting new patients
Myeyedr. Optometry of Florida, LLC Optometrist CurrentSince Aug 1, 2025 Accepting new patients
Myeyedr Optometry of Florida, LLC Optometrist CurrentSince Aug 1, 2025 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.

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

Verify at the official NPI Registry.