=====================================================
General NPI Number Information
=====================================================
NPI Number | 1811865330
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | MOBILE EYE CARE LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 10/27/2025
-----------------------------------------------------
Last Update Date | 12/16/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 16701 MELFORD BLVD SUITE 400-#3487
-----------------------------------------------------
City | BOWIE
-----------------------------------------------------
State | MD
-----------------------------------------------------
Zip | 20715-4411
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 813-787-5877
-----------------------------------------------------
Fax | 888-609-9664
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 16701 MELFORD BLVD SUITE 400-#3487
-----------------------------------------------------
City | BOWIE
-----------------------------------------------------
State | MD
-----------------------------------------------------
Zip | 20715-4411
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 813-787-5877
-----------------------------------------------------
Fax | 888-609-9664
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | SOLE MANAGING MEMBER - OWNER
-----------------------------------------------------
Name | DR. TERESA MARIA GRILLO
-----------------------------------------------------
Credential | O.D.
-----------------------------------------------------
Telephone | 443-204-3939
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 152W00000X
-----------------------------------------------------
Taxonomy Name | Optometrist
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------