| Lauren E Grillot, OD | |
|
32 S Main St, Minster, OH 45865-1303 | |
| (567) 603-3172 | |
| (567) 603-3180 |
| Full Name | Lauren E Grillot |
|---|---|
| Gender | Female |
| Speciality | Optometrist |
| Location | 32 S Main St, Minster, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669786992 | NPI | - | NPPES |
| 3080535 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | T2860 (Ohio) | Secondary |
| 152W00000X | Optometrist | 5945 (Ohio) | Primary |
| Provider Name | Inspired Eyes Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1316693542 PECOS PAC ID: 2062891682 Enrollment ID: O20221209001337 |
| Mailing Address | Practice Location Address |
|---|---|
| Lauren E Grillot, OD 32 S Main St, Minster, OH 45865-1303 Ph: (567) 603-3172 | Lauren E Grillot, OD 32 S Main St, Minster, OH 45865-1303 Ph: (567) 603-3172 |
Inspired Eyes Llc Optometrist Medicare: Medicare Enrolled Practice Location: 32 S Main St, Minster, OH 45865 Phone: 567-603-3172 | |
Amanda Eilerman, O.D., M.S. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 32 S. Main Street, Minster, OH 45865 Phone: 567-603-3172 | |
Dr. Andrea Kaye Dietz, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 208 N Main St, Minster, OH 45865 Phone: 419-628-3017 Fax: 419-628-8208 | |
John T Archer & Associates Inc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 208 N Main St, Minster, OH 45865 Phone: 419-628-3017 Fax: 419-628-8208 |