Grange Ophthalmology, PLLC
NPI 1285376558ActiveOrganization· Ophthalmology· Eagle, ID
Ophthalmology in Eagle, Idaho, registered in NPPES in April 2022. The authorized official on file is Laura Rae Nolder, Office Manager. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1285376558 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 8, 2022 |
| Last updated in NPPES | Aug 15, 2023 |
| Certified by provider | Aug 15, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Ophthalmology Primary | 207W00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (ID) |
|---|
Other Ophthalmology providers in Eagle
- 1942345228