Lisa S Grigg, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

ODP-1056 Issued in ID

Practice address

943 Linder Rd
Ste 102
Kuna, ID 83634-3394

Phone

(208) 922-3060

Fax

(208) 922-1228

NPI assigned

Jul 23, 2006

Last updated

Jan 3, 2017By the provider in NPPES

Sex

Female

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

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)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Clarifeye, PC

  • Optometrist
  • Kuna, ID
  • NPI 1497809701
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1153612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483401600000",
    "number": "1851313704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "762 E WYTHE CREEK CT",
            "address_2": "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": "943 LINDER RD",
            "address_2": "STE 102",
            "city": "KUNA",
            "state": "ID",
            "postal_code": "836343394",
            "telephone_number": "208-922-3060",
            "fax_number": "208-922-1228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIGG",
        "first_name": "LISA",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-23",
        "last_updated": "2017-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "ID",
            "license": "ODP-1056",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8062501",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katie Yvonne Gonzalez, RPH
• Vicki Michelle Goss, APRN
• Grant Francis DDS PC
• Shannon Maureen Gray, LMSW
• Jim Anderson Grigg, LCPC, LMFT
• Robert D Grigg, OD
• Grit & Grace Counseling LLC
• Lacey Haggan-Galloway, LMFT
• Clayleen Jo Harrington, FNP
• Todd William Harris

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2017; 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.