Individual provider Active NPI

Robert D Grigg, OD

  • Optometrist
  • Kuna, ID
National Provider Identifier
1780698522
Registry record updated Jul 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
ODP-1057 Issued in ID
Practice address
762 E Wythe Creek CT Ste 102
Kuna, ID 83634-5215
Phone
(208) 922-3060
Fax
(208) 922-1228
NPI assigned
Jul 28, 2006
Last updated
Jul 28, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X ODP-1057 ID Primary

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 identifiers 1

IdentifierTypeStateIssuer
8062500MedicaidID

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20120227000402 ID Practitioner - Optometry 7618039017 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clarifeye PCGroup PAC ID 8123186137, 2 clinicians

Practice addresses (Care Compare)

762 E Wythe Creek CT
Suite 102
Kuna, ID 83634-5215
Phone (208) 922-3060

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery36

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ODP-1057IDMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Clarifeye, PC Optometrist CurrentSince Aug 1, 2001 Accepting new patients

Locations

762 E Wythe Creek Ct
Ste 102
Kuna, ID 83634
Phone (208) 922-3060

943 N Linder Rd
Ste 102
Kuna, ID 83634
Phone (208) 757-2289

Interoperability endpoints

  • FHIR API: https://clarifeyeeyecare.ef.prod.fhir.ema-api.com/fhir/r4/

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785196800000",
    "number": "1780698522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "762 E WYTHE CREEK CT STE 102",
            "city": "KUNA",
            "state": "ID",
            "postal_code": "836345215",
            "telephone_number": "208-922-3060",
            "fax_number": "208-922-1228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "762 E WYTHE CREEK CT STE 102",
            "city": "KUNA",
            "state": "ID",
            "postal_code": "836345215",
            "telephone_number": "208-922-3060",
            "fax_number": "208-922-1228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIGG",
        "first_name": "ROBERT",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-28",
        "last_updated": "2026-07-28",
        "certification_date": "2026-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "ID",
            "license": "ODP-1057",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8062500",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kuna, ID

Sources for this page

Verify at the official NPI Registry.