JILL M LANE LLC
NPI 1902078785
Optometrist in Grangeville, ID

Q: What is Jill M Lane LLC's NPI number?

The NPI number for Jill M Lane LLC is 1902078785. It was assigned to this organization in the NPPES registry on April 1, 2008.

Q: What is Jill M Lane LLC's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Q: When was this NPI record last updated?

The NPPES record for Jill M Lane LLC was last updated on January 12, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since April 01, 2008

405 E MAIN ST, GRANGEVILLE, ID 83530(208) 983-3732(208) 983-3738 Get Directions Write a Review

NPPES record last updated: January 12, 2017. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Jill M Lane Llc NPPES

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

JILL M LANE LLC (NPI 1902078785) is a healthcare organization registered as an optometrist in Grangeville, Idaho and active in the NPI registry since April 2008. The organization lists Jill Marie Lane, President/physician, as its authorized official.

NPPES Registry Identity

NPI1902078785

Entity TypeOrganization

Primary Taxonomy152W00000X

Legal Business NameJILL M LANE LLC

Location Address405 E MAIN STGrangeville, ID 83530-2239

Mailing Address405 E Main StGrangeville, ID 83530-2239 · (208) 983-3732 · Fax (208) 983-3738

Phone(208) 983-3732

Fax(208) 983-3738

Organization SubpartNo

Authorized OfficialJill Marie LanePresident/physician · (208) 983-3732

Enumeration DateApril 1, 2008

Last NPPES UpdateJanuary 12, 2017

✔ NPI 1902078785 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

License✔ Licensed in ID · ODP-100095

Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

405 E MAIN ST, Grangeville, ID 83530

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Other Identifiers 1

Medicare NSC6109640001ID

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jill M Lane Llc 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 Jill M Lane LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Jill Lane, O.D.

Optometry

NPI 1427119254

405 E MAIN ST
Grangeville, ID 83530

(208) 983-3732

✔ PECOS✔ Accepts MedicareSame address

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 Jill M Lane LLC's NPI number?

The NPI number for Jill M Lane LLC is 1902078785. It was assigned to this organization in the NPPES registry on April 1, 2008.

Where is Jill M Lane LLC located?

Jill M Lane LLC is located at 405 E Main St, Grangeville, ID 83530. The listed phone number is (208) 983-3732.

What is Jill M Lane LLC's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Jill M Lane LLC enrolled in Medicare?

Yes. Jill M Lane LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Jill M Lane LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Optometry) reassigns their Medicare billing to Jill M Lane LLC. 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.

When was this NPI record last updated?

The NPPES record for Jill M Lane LLC was last updated on January 12, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.