P Praxis·MD
● Active Type 2 · Organization

Grange Ophthalmology, Pllc

Ophthalmology·Eagle, ID· NPI 1285376558 · Enumerated 2022 · 4 years on NPI
Grange Ophthalmology, Pllc is 1 of 122 ophthalmology organizations in Idaho.
NPI age
4 years
Enumerated 2022-04-08
Primary specialty
Ophthalmology
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Nolder
Office Manager
Last NPPES update
2023-08-15
Source: monthly bulk 2026-05

How this organization compares

Across 122 active ophthalmology providers in Idaho.

NPI age
4 years
↓ 15 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2022 → 2026

2022-04Enumerated in NPPES
2022 2026

Where they practice

Primary practice location
450 W State St Ste 250
Eagle, ID 836166974
📞 2085067966fax 2082773857
Mailing address
450 W State St Ste 250
Eagle, ID 836166974
📞 2085067966fax 2082773857

Authorized official

Laura Rae Nolder
Office Manager
📞 2089897151

Specialties

  • Ophthalmology Primary
    An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual...
    taxonomy 207W00000X

Other names on file (1)

Doing-business-as, former, and alternate names recorded by NPPES.

  • Grange Eye Care
    Type code 3 recorded 2023-08-15

Practice context

Single-site organization. Only one practice location on file.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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