OrganizationActive
Grange Ophthalmology, PLLC
NPI 1285376558 · Ophthalmology Physician · Eagle, ID
Provider details
- NPI number
- 1285376558
- Entity type
- Organization
- Primary specialty
- Ophthalmology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Laura Nolder, Office Manager(208) 989-7151
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
450 W State St Ste 250
Eagle, ID 83616-6974
Phone: (208) 506-7966
Fax: (208) 277-3857
Approximate (ZIP-level) locationGet directions
Mailing address
450 W State St Ste 250
Eagle, ID 83616-6974
Other names (DBA / former)
- Doing business as
- Grange Eye Care
Registry dates
- Enumerated
- 2022-04-08
- Last updated
- 2023-08-15
- Certified
- 2023-08-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.