GRANGE EYE CARE
NPI 1285376558
Ophthalmology in Eagle, ID

Q: What is Grange Ophthalmology, PLLC's NPI number?

The NPI number for Grange Ophthalmology, PLLC is 1285376558. It was assigned to this organization in the NPPES registry on April 8, 2022. The provider is doing business as Grange Eye Care.

Q: What is Grange Ophthalmology, PLLC's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Active since April 08, 2022

450 W STATE ST STE 250, EAGLE, ID 83616(208) 506-7966(208) 277-3857 Get Directions Write a Review

NPPES record last updated: August 15, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 15, 2023, Aug 9, 2023, Apr 8, 2022 (3 updates tracked since 2022).

On this page

About Grange Eye Care NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GRANGE EYE CARE (NPI 1285376558) is a healthcare organization registered as an ophthalmology in Eagle, Idaho and active in the NPI registry since April 2022. The organization lists Laura Rae Nolder, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1285376558

Entity TypeOrganization

Primary Taxonomy207W00000X

Legal Business NameGRANGE OPHTHALMOLOGY, PLLC

Location Address450 W STATE ST STE 250Eagle, ID 83616-6974

Mailing Address450 W State St Ste 250Eagle, ID 83616-6974 · (208) 506-7966 · Fax (208) 277-3857

Phone(208) 506-7966

Fax(208) 277-3857

Organization SubpartNo

Authorized OfficialLaura Rae NolderOffice Manager · (208) 989-7151

Enumeration DateApril 8, 2022

Last NPPES UpdateAugust 15, 20233 updates tracked since enumeration

NPPES CertifiedAugust 15, 2023

✔ NPI 1285376558 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

450 W STATE ST STE 250, Eagle, ID 83616

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Other Names 1

Doing Business AsGrange Eye Care

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc..Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Grange Eye Care is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Grange Eye Care, which bills Medicare for the services this clinician delivers.

Clinician (1)

Landon Grange, M.D.

Ophthalmology

NPI 1043620255

5680 W GAGE ST
Boise, ID 83706

(208) 773-3937

✔ PECOS7.5 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Grange Ophthalmology, PLLC's NPI number?

The NPI number for Grange Ophthalmology, PLLC is 1285376558. It was assigned to this organization in the NPPES registry on April 8, 2022. The provider is doing business as Grange Eye Care.

Where is Grange Ophthalmology, PLLC located?

Grange Ophthalmology, PLLC is located at 450 W State St Ste 250, Eagle, ID 83616. The listed phone number is (208) 506-7966.

What is Grange Ophthalmology, PLLC's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Grange Ophthalmology, PLLC enrolled in Medicare?

Yes. Grange Ophthalmology, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Grange Ophthalmology, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Ophthalmology) reassigns their Medicare billing to Grange Ophthalmology, PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Grange Ophthalmology, PLLC accept?

Health plans from Moda Health Plan, Inc. list Grange Ophthalmology, PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Grange Ophthalmology, PLLC was last updated on August 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.