Clarifeye, PC
Organization Active NPI Optometrist · Kuna, ID
NPI 1497809701 · NPPES record last updated Feb 28, 2023
Key facts
- NPI
- 1497809701
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Optometrist 152W00000X
- License
- ODP - 1057 (ID)
- Legal business name
- CLARIFEYE, PC
- Practice address
- 762 E Wythe Creek CT Ste 102
Kuna, ID 83634-5215 - Phone
- (208) 922-3060
- Fax
- (208) 922-1228
- NPI assigned
- Jan 23, 2007
- Organization subpart
- No
Authorized official
- Name
- Robert D Grigg, OD
- Title
- Doctor/Owner
- Phone
- (208) 922-3060
Practitioners 6
-
Robert D Grigg, OD
-
Lisa S Grigg, OD
-
Cameron Prien, OD
-
John Jacob Bartlett Sr., O.D.
-
Riley Grigg Beus, OD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ID
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20081217000340 | ID | Part B Supplier - Clinic/Group Practice | 8123186137 |
Receives reassigned benefits from 4 practitioners Practice locations: Kuna, ID |
National Provider Directory
Locations
762 E Wythe Creek Ct
Ste 102
Kuna, ID 83634
Phone (208) 922-3060
Interoperability endpoints
- https://clarifeyeeyecare.ef.prod.fhir.ema-api.com/fhir/r4/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist |
152W00000X | ODP - 1057 | ID | Yes |
Addresses
Primary practice location
762 E Wythe Creek CT Ste 102
Kuna, ID 83634-5215
Mailing address
762 E Wythe Creek CT Ste 102
Kuna, ID 83634-5215
Phone (208) 922-3060
Other providers in Kuna, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 28, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.