LA GRANDE FAMILY EYE CARE
NPI 1376773960
Eyewear Supplier in La Grande, OR

Active since July 17, 2009
1502 N PINE ST, LA GRANDE, OR 97850(541) 963-3788(541) 963-3091 Get Directions Write a Review

NPPES record last updated: September 9, 2010. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About La Grande Family Eye Care NPPES

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

LA GRANDE FAMILY EYE CARE (NPI 1376773960) is a healthcare organization registered as an eyewear supplier in La Grande, Oregon and active in the NPI registry since July 2009. The organization lists Samuel Heber Kimball, Optometrist, as its authorized official.

NPPES Registry Identity

NPI1376773960
Entity TypeOrganization
Primary Taxonomy332H00000X
Legal Business NameLA GRANDE FAMILY EYE CARE
Location Address1502 N PINE STLa Grande, OR 97850
Mailing Address1502 N Pine StLa Grande, OR 97850 · (541) 963-3788 · Fax (541) 963-3091
Fax(541) 963-3091
Organization SubpartNo
Authorized OfficialSamuel Heber KimballOptometrist · (541) 963-3788
Enumeration DateJuly 17, 2009
Last NPPES UpdateSeptember 9, 2010
✔ NPI 1376773960 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEyewear SupplierSuppliers
Taxonomy Code332H00000X
License✔ Licensed in OR · 3311AT
Definition
An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.
1502 N PINE ST, La Grande, OR 97850

Other Identifiers 2

Medicare NSC6353830001OR
Medicaid500609247OR

Accepted 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)

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

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to La Grande Family Eye Care, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Optometry
NPI 1326377151
1502 N PINE ST #3
La Grande, OR 97850
(541) 963-3788
✔ PECOS✔ Accepts Medicare0.1 mi
Optometry
NPI 1144458860
1502 N PINE ST
La Grande, OR 97850
(541) 963-3788
✔ PECOS✔ Accepts Medicare0.1 mi
Optometry
NPI 1952826513
2043 COLLEGE WAY
Forest Grove, OR 97116
(503) 352-3197
✔ PECOS✔ Accepts Medicare245 mi

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

Medical Equipment Supplier Medicare DMEPOS 3

Medicare supplier enrollment and the product categories La Grande Family Eye Care carries, from the Medicare DMEPOS supplier directory.

La Grande Family Eye Care

DMEPOS supplier · La Grande, OR
✔

Accepts Medicare assignment

La Grande Family Eye Care agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20551643
Medicare Participant SinceJuly 9, 2009
Supplier Location1502 N Pine St Ste 3La Grande, OR 97850
Supplier Specialties
Optometrist

Medicare Product Categories

Ocular Prostheses
Prosthetic eyes
Prosthetic Lenses: Conventional Eyeglasses
Conventional Eyeglasses
Prosthetic Lenses: Conventional Contact Lenses
Conventional Contact Lenses
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

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 La Grande Family Eye Care's NPI number?

The NPI number for La Grande Family Eye Care is 1376773960. It was assigned to this organization in the NPPES registry on July 17, 2009.

Where is La Grande Family Eye Care located?

La Grande Family Eye Care is located at 1502 N Pine St, La Grande, OR 97850. The listed phone number is (541) 963-3788.

What is La Grande Family Eye Care's specialty?

The primary specialty registered for this NPI is Eyewear Supplier with taxonomy code 332H00000X.

Is La Grande Family Eye Care enrolled in Medicare?

Yes. La Grande Family Eye Care is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through La Grande Family Eye Care?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Optometry, reassign their Medicare billing to La Grande Family Eye Care. 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. Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does La Grande Family Eye Care accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, La Grande Family Eye Care accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

What insurance does La Grande Family Eye Care accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and BlueCross BlueShield of Tennessee and 4 other insurers list La Grande Family Eye Care 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 La Grande Family Eye Care was last updated on September 9, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.