Individual provider · Type 1 NPI

Landon Kelly Grange, MD

Ophthalmology Physician · Boise, ID

NPI number 1043620255 Active

Practice location

5680 W Gage St
Boise, ID 83706

Fax (208) 377-3937

Mailing address

3867 Miramar St, Apartment G
La Jolla, CA 92037-1312

Specialties and licenses

TaxonomyCodeLicense
Ophthalmology Physician Primary 207W00000XM14219 (ID)

Ophthalmology Physician: An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services,…

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About NPI 1043620255

Landon Kelly Grange, MD's National Provider Identifier is 1043620255, issued on Apr 28, 2014. The primary taxonomy on file is Ophthalmology Physician (207W00000X), and the practice location is in Boise, ID. The record was last updated on Jul 26, 2018.