Jill M Lane Llc | |
405 E Main St, Grangeville, ID 83530-2239 | |
(208) 983-3732 | |
(208) 983-3738 |
Full Name | Jill M Lane Llc |
---|---|
Type | Facility |
Speciality | Optometrist |
Location | 405 E Main St, Grangeville, Idaho |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1902078785 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | ODP-100095 (Idaho) | Primary |
Provider Name | Jill M Lane |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1427119254 PECOS PAC ID: 9739197807 Enrollment ID: I20060331000014 |
Mailing Address | Practice Location Address |
---|---|
Jill M Lane Llc 405 E Main St, Grangeville, ID 83530-2239 Ph: (208) 983-3732 | Jill M Lane Llc 405 E Main St, Grangeville, ID 83530-2239 Ph: (208) 983-3732 |
Brown Family Vision, P.c. Optometrist Medicare: Medicare Enrolled Practice Location: 622 W North St, Grangeville, ID 83530 Phone: 208-983-0260 | |
Dr. Jill Marie Lane, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 405 E Main St, Grangeville, ID 83530 Phone: 208-983-3732 Fax: 208-983-3738 | |
Dr. Joel I Brown, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 622 W North St, Grangeville, ID 83530 Phone: 208-983-0260 Fax: 208-983-0047 |