Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JILL MARIE LANE, O.D.
ActiveDR. JILL MARIE LANE, O.D. is a Optometrist healthcare provider located in GRANGEVILLE, Idaho. NPI 1427119254 is currently active in the NPPES registry. Verify at CMS.
Optometrist · GRANGEVILLE, ID
Registration Details
- NPI Number
- 1427119254
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 13, 2006 (19.484589777917 yrs)
- Last Updated
- Jan 12, 2017
- License
-
ODP-100095 (ID)
Practice Information
- Address
-
405 E MAIN STGRANGEVILLE, ID, 835302239Browse ID providers · Browse ZIP 83530
- Phone
- 2089833732
- Fax
- 2089833738
- Primary Specialty
-
Optometrist
152W00000X
Other Optometrist Providers in GRANGEVILLE, ID
| Name | Credential | NPI |
|---|---|---|
| DR. JOEL I BROWN | O.D. | 1891780334 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.