DR. JILL MARIE LANE (NPI# 1427119254) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427119254 |
| Entity Type | Individual |
| Full Name | DR. JILL MARIE LANE |
| Other Name | DR. JILL MARIE DEKAYE |
| Credential | O.D. |
| Practice Address |
405 E Main St Grangeville ID 83530-2239 |
| Mailing Address |
217 Se 10th St Grangeville ID 83530-5127 |
| Practice Telephone | 2089833732 |
| Practice Fax Number | 2089833738 |
| Mailing Telephone | 2089833494 |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2017-01-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | ODP-100095 | ID | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | 807324600 | 05 | |
| WA | 2031383 | 05 | |
| ID | BLUE CROSS OF IDAHO | V7168 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689787624 | Jill Suzanne Lane | Speech-Language Pathologist | 5451 Davie Road, Davie, FL 33314 | 2006-08-16 |
| 1235537465 | Jill Lane | Registered Nurse | 429 Manor Dr, Suite 10, Ebensburg, PA 15931-4917 | 2014-12-22 |
| 1275881294 | Jill Linette Lane | Pharmacist | 702 N Main St, Greer, SC 29651-1204 | 2012-08-23 |
| 1467693242 | Jill Deanna Lane | Counselor | 909 E State Blvd, Fort Wayne, IN 46805-3404 | 2009-03-09 |
| 1992954291 | Jill Denise Lane | Licensed Practical Nurse | 2863 Alt 19, Palm Harbor, FL 34683-1926 | 2008-09-11 |
| 1083602338 | Jill Lane | Internal Medicine | 10666 N Torrey Pines Rd, Maildrop 203n, La Jolla, CA 92037-1027 | 2005-10-11 |
| Street Address |
405 E MAIN ST |
| City | GRANGEVILLE |
| State | ID |
| Zip Code | 83530-2239 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902078785 | Jill M Lane LLC | Optometrist | 405 E Main St, Grangeville, ID 83530-2239 | 2008-04-01 |
| 1790809085 | Opportunities Unlimited, Inc. | Specialist | 405 E Main St, Suite A, Grangeville, ID 83530-2239 | 2007-03-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386197424 | Tolo Tranportation LLC | Non-emergency Medical Transport (VAN) | 78 Poor Farm Rd, Grangeville, ID 83530 | 2016-07-25 |
| 1043689441 | Derek R Wynn | Physician Assistant | 607 W Main Street, Grangeville, ID 83530 | 2015-09-16 |
| 1528468139 | Joanne M Belch | Counselor | 83 Highway 95 North, Camas Professional Counseling, Grangeville, ID 83530 | 2014-09-02 |
| 1679875462 | Oi Min Anthony Chai | Physical Therapist | 183 Farrens Creek Lane, Grangeville, ID 83530 | 2010-11-30 |
| 1346569647 | Valleyview Recovery | Case Management | 109 S. Mill St., Grangeville, ID 83530 | 2010-05-26 |
| 1760503676 | Clearwater Counseling | Counselor | 318 E. Main, Grangeville, ID 83530 | 2007-04-02 |
| 1659452019 | Bradley J Schaff | Dentist | 615 W North St, Grangeville, ID 83530 | 2006-10-18 |
| 1518051366 | Wayne L Hollopeter | Family Medicine | 721 W. North Street, Grangeville, ID 83530 | 2006-10-03 |
| 1417252719 | Syringa General Hospital District Cif | General Acute Care Hospital | 607 West Main Street, Grangeville, ID 83530 | 2011-01-18 |
| 1669553020 | Allen Raymond Chenoweth | Dentist | 615 W North St, Grangeville, ID 83530 | 2006-10-18 |
| Find all providers in zip 83530 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| 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. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891780334 | Joel I Brown | Optometrist | 622 W North St, Grangeville, ID 83530-1240 | 2005-09-12 |
| 1902078785 | Jill M Lane LLC | Optometrist | 405 E Main St, Grangeville, ID 83530-2239 | 2008-04-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215536362 | Daniel & Max, LLC | Optometrist | 1405 N Milwaukee St, Boise, ID 83704-8400 | 2020-10-20 |
| 1326669920 | Clear Eyes Optometric Care, Pllc | Optometrist | 7950 Horseshoe Bend Rd Ste 101, Boise, ID 83714-3809 | 2020-05-05 |
| 1538792551 | Eyes On Meridian LLC | Optometrist | 119 E Calderwood Dr, Meridian, ID 83642-7482 | 2020-02-18 |
| 1962067538 | Eyecare Associates of Kuna | Optometrist | 943 N Linder Rd Ste 102, Kuna, ID 83634-3395 | 2019-05-08 |
| 1700440948 | Mobilitycares LLC | Optometrist | 14340 Salmon River Rd, Caldwell, ID 83607-7813 | 2019-04-23 |
| 1255898292 | Kreed Bowman Od Pllc | Optometrist | 250 S Skyline Dr Ste 6, Idaho Falls, ID 83402-3292 | 2019-02-26 |
| 1972089514 | John Wesley Porter | Optometrist | 3363 Merlin Dr, Idaho Falls, ID 83404-7405 | 2018-07-17 |
| 1467945873 | Blake Bingham | Optometrist | 1700 W Karcher Rd, Nampa, ID 83651-1531 | 2018-06-11 |
| 1396238689 | Daniel Leo Adams | Optometrist | 8220 N Cornerstone Dr Ste A, Hayden, ID 83835-8683 | 2018-06-11 |
| 1598258055 | Daniel Christopher Kunz | Optometrist | 4191 Poleline Rd Ste C, Pocatello, ID 83202-2402 | 2018-06-10 |
| Find all providers with the same taxonomy | ||||
| City | GRANGEVILLE |
| Zip Code | 83530 |
Please comment or provide details below to improve the information on DR. JILL MARIE LANE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.