Landon Kelly Grange is a Boise, Idaho based male Ophthalmologist with 11 years of experience in Ophthalmology. He completed his graduation from University Of California, San Diego School Of Medicine in 2014. He is also affiliated with hospitals like West Valley Medical Center. He may accept the Medicare-approved amount. Patients may be billed for more than the Medicare deductible and coinsurance. Active license number of Landon Kelly Grange is M14219 for Ophthalmology in Idaho.
Landon Kelly Grange is medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, patients can be prescribed vision services, including glasses and contact lenses.
Complete Profile:
Landon Kelly Grange speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Specialization: | Ophthalmology |
| Credentials: | M.D. |
| Experience: | 11+ years |
| Medical School Attended: | University Of California, San Diego School Of Medicine |
| Graduation Year: | 2014 |
| Gender: | Male |
| Accepts Medicare Assignment: | May Accept |
| Practice Address: | 5680 W Gage St, Boise,
Idaho, 83706 |
| Phone: | 208-773-3937 |
| Fax: | 208-377-3937 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 7012209182 |
| Enrollment ID: | I20180716003161 |
| NPI Number: | 1043620255 |
| NPI Enumeration Date: | 28 Apr, 2014 |
| NPI Last Update On: | 26 Jul, 2018 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Landon Kelly Grange are as mentioned below.
| License Number | Specialization | State | Status | |
| M14219 | Ophthalmology | Idaho | Primary | |
Hospital Affiliation:
Surgeons are affiliated to many hospitals whom they worked with in the past or are presently working with. One surgeon can be affiliated to four to five hospitals at a time.
| Hospital Name (CCN) | State | Hospital Type |
| West Valley Medical Center (130014) | Caldwell, ID | Acute Care Hospital |
Other Medical Identifiers:
Other legacy medical identifiers associated with Landon Kelly Grange such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 1043620255 | Medicaid | Idaho | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 3867 Miramar St, Apartment G
La Jolla, California |
| Zip: | 92037-1312 |
| Phone Number: | 208-559-6893 |
| Fax Number: | -- |
Patients can reach Landon Kelly Grange at
5680 W Gage St, Boise, Idaho or can
call to book an appointment on 208-773-3937.
Comments/ Reviews:
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** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.