OrganizationActive
Eyecenter PA
NPI 1174632244 · Optometrist · Ketchum, ID
Eyecenter PA is a Optometrist organization in Ketchum, ID (NPI 1174632244).
Provider details
- NPI number
- 1174632244
- Entity type
- Organization
- Primary specialty
- OptometristEye and Vision Services Providers
- Parent organization
- Eyecenter PA
- Organization subpart
- Yes
- Authorized official
- Robert Grill, Owner Optometrist(208) 734-9800
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
180 1st Ave N
Ketchum, ID 83340-6129
Phone: (208) 726-3363
Fax: (208) 726-0138
Street-level locationGet directions
Mailing address
Po Box 6129
Ketchum, ID 83340-6129
Other names (DBA / former)
- Doing business as
- Ketchum Eyecenter
Registry dates
- Enumerated
- 2006-08-30
- Last updated
- 2008-01-08
Frequently asked questions
- What is Eyecenter PA's NPI number?
- Eyecenter PA's National Provider Identifier (NPI) is 1174632244, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Eyecenter PA?
- Eyecenter PA is classified in the NPPES registry as Optometrist (Eye and Vision Services Providers).
- Where is Eyecenter PA located?
- Eyecenter PA's practice location on file with NPPES is 180 1st Ave N, Ketchum, ID 83340-6129.
- What is Eyecenter PA's phone number?
- The practice phone number listed in the NPPES registry for Eyecenter PA is (208) 726-3363.
- Who is the authorized official for Eyecenter PA?
- The authorized official listed on Eyecenter PA's NPPES record is Robert Grill, Owner Optometrist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Eyecenter PA's NPI active?
- Yes — Eyecenter PA's NPI (1174632244) is active in the NPPES registry as of the last update on 2008-01-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.