Jeffrey Paul Graviet, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

ODP-1021 Issued in ID

Practice address

170 S Seneca Springs Way
Ste 100
Star, ID 83669-5938

Phone

(208) 898-4112

NPI assigned

May 6, 2006

Last updated

Sep 17, 2012By 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

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

Specialty

Optometry

Education

Pacific University - College of Optometry, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eye 2 Eye PLLCGroup PAC ID 5294768776, 4 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Eye 2 Eye PLLC

  • Optometrist
  • Eagle, ID
  • NPI 1467674572
  Medicare reassignment Care Compare group
• Keen Eye Vision PLLC

  • Optometrist
  • Star, ID
  • NPI 1861674707
  NPD (past) Authorized official
• Ada Vision Center P.a.

  • Optometrist
  • Boise, ID
  • NPI 1407869589
  NPD (past)
• Idaho Eyecare Center

  • Optometrist
  • Boise, ID
  • NPI 1992899181
  NPD (past)

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

{
    "created_epoch": "1146873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347840000000",
    "number": "1831148105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 S SENECA SPRINGS WAY STE 100",
            "city": "STAR",
            "state": "ID",
            "postal_code": "836695938",
            "telephone_number": "208-898-4112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 S SENECA SPRINGS WAY",
            "address_2": "STE 100",
            "city": "STAR",
            "state": "ID",
            "postal_code": "836695938",
            "telephone_number": "208-898-4112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAVIET",
        "first_name": "JEFFREY",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-06",
        "last_updated": "2012-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "ID",
            "license": "ODP-1021",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "807258500",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ellen Ferrenburg
• Jessica Florian
• Forsyth Counseling, LLC
• Richard Samuel Francis, DPT
• Maya S Gough
• Linda M Haney, MD
• Donnelle Adrian Haun, LPC
• Daniel Hawk
• Healthy Directions
• Sadigha Heydari, PHARMD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2012; 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.