Robert B Grill, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

ODP0628 Issued in ID

Practice address

844 Shoshone St E
Twin Falls, ID 83301-6336

Phone

(208) 734-9800

Fax

(208) 734-9433

NPI assigned

Aug 31, 2006

Sex

Male

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 1

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Eyecenter PA

  • Optometrist
  • Hailey, ID
  • NPI 1154418366
  Medicare reassignment NPD
• Eyecenter PA

  • Optometrist
  • Twin Falls, ID
  • NPI 1881781094
  NPD Authorized official

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280188800000",
    "number": "1639280951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "844 SHOSHONE ST E",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833016336",
            "telephone_number": "208-734-9800",
            "fax_number": "208-734-9433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "844 SHOSHONE ST E",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833016336",
            "telephone_number": "208-734-9800",
            "fax_number": "208-734-9433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRILL",
        "first_name": "ROBERT",
        "middle_name": "B",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2010-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "ID",
            "license": "ODP0628",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002457900",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jason Ryan Greenhalgh, M.D.
• David Griffin, MD
• Paula Porter Griffith, M.D.
• Amber Keandrea Griggs, LMSW
• Katherine Grill Nate, OD
• Jonathan James Grimm
• Mark Allen Gritton, LCPC
• Michael Robert Gritton, LPC
• Jacob Groesbeck, PT, DPT
• Brenda Fay Grogan, LICENSED MIDWIFE

• Optometrist in Twin Falls, ID
• Providers in Twin Falls, ID by specialty
• Optometrist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2010; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.