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

Last updated

Jul 27, 2010By the provider in NPPES

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Eyecenter PA

  dba Hailey Eyecenter

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

  dba Twin Falls Eyecenter

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

  dba Ketchum Eyecenter

  • Optometrist
  • Ketchum, ID
  • NPI 1174632244
  Authorized official Same address or phone

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": [],
    "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
• Jacob Groesbeck, PT, DPT
• Brenda Fay Grogan, LICENSED MIDWIFE
• Jodi Gruendler, CADC

• 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.