Landon Kelly Grange is a Boise, Idaho based male Ophthalmologist with 10 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:
10+ 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:
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Patients can reach Landon Kelly Grange at 5680 W Gage St, Boise, Idaho or can call to book an appointment on 208-773-3937. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.