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NPI Code Detail

MEDICARE: MOBILE EYE CARE LLC

MEDICARE: MOBILE EYE CARE LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1152W00000XOptometrist

General Provider Information

NPI Number : 1811865330
Entity Type Code : Organization
Provider Name (Legal Business Name) : MOBILE EYE CARE LLC
Provider Business Mailing Address
First Line : 16701 MELFORD BLVD
Second Line : SUITE 400-#3487
City : BOWIE
State : MD
Zip : 20715-4411
Country : US
Telephone Number : 443-204-3939
Fax Number : 888-609-9664
Provider Business Practice Location Address
First Line : 16701 MELFORD BLVD STE 400-3487
Second Line :
City : BOWIE
State : MD
Zip : 20715-4411
Country : US
Telephone Number : 443-204-3939
Fax Number : 888-609-9664
Authorized Official
Title or Position : SOLE MANAGING MEMBER - OWNER
Name : DR. TERESA MARIA GRILLO
Credential : O.D.
Telephone Number : 443-204-3939
Provider Enumeration Date : 10/27/2025
Last Update Date : 12/23/2025

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Directions to “MOBILE EYE CARE LLC ” Practice Location

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