Jill Marie Lane, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

ODP-100095 Issued in ID

Practice address

405 E Main St
Grangeville, ID 83530-2239

Phone

(208) 983-3732

Fax

(208) 983-3738

NPI assigned

Dec 13, 2006

Last updated

Jan 12, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Dr. Jill Marie Dekaye Former name

Medicare fee-for-service enrollment

Enrolled in ID

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Pacific University - College of Optometry, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

68.78 of 100Reported as individual

Quality

37.56

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: dr.jillmlane@camasprairie.eyefinity-direct.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Jill M Lane LLC

  • Optometrist
  • Grangeville, ID
  • NPI 1902078785
  Medicare reassignment NPD Authorized official
• Clearview Eye Clinic LTD

  • Ophthalmology Physician
  • Moscow, ID
  • NPI 1407915325

  Optometrist

  NPD (past)
• Clearview Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Lewiston, ID
  • NPI 1265816003
  NPD (past)
• Klemp Optometry

  • Optometrist
  • Lewiston, ID
  • NPI 1972684488
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484179200000",
    "number": "1427119254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 SE 10TH ST",
            "city": "GRANGEVILLE",
            "state": "ID",
            "postal_code": "835305127",
            "telephone_number": "208-983-3494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 E MAIN ST",
            "city": "GRANGEVILLE",
            "state": "ID",
            "postal_code": "835302239",
            "telephone_number": "208-983-3732",
            "fax_number": "208-983-3738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANE",
        "first_name": "JILL",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-13",
        "last_updated": "2017-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "ID",
            "license": "ODP-100095",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF IDAHO",
            "identifier": "V7168",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2031383",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "807324600",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JILL",
            "last_name": "DEKAYE",
            "middle_name": "MARIE",
            "prefix": "DR.",
            "credential": "O.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Irwin Drug Inc.
• Jill M Lane LLC
• Chad Guy Jungert, RPH
• Tricia Klement
• Christina L. Koehler, L.M.P.
• Melissa Lane, DPT
• Suzanne Lattin
• Jennifer Carrie Lesso, NP-C
• Lincare Inc.
• John A. Link, D.D.S.

• Optometrist in Grangeville, ID
• Providers in Grangeville, ID by specialty
• Optometrist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.