GRACE DILLE – Optometrist, NPI 1124813522

GRACE DILLE is a healthcare provider. based in Greeley, Colorado. specializing in OPTOMETRY. They hold a License No. OPT.0004121 (CO). The NPI Number for GRACE DILLE is 1124813522

Main info

Female
1 Year Of Experience
Accepts Medicare Assignment
Name
GRACE DILLE
NPI
1124813522
Phone
(970) 346-1411
Address
2867 35TH AVE
Enumeration Date
14 April 2025
Last Update Date
24 July 2025

Doctor Profile

Medical School Name
ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Secondary Phone
9703461411
Graduation Year
2025 (1 year ago)
PAC ID
1759894173
Group Practice PAC ID
7113359415
Professional Enrollment ID
I20250630002065
Address ID
CO806349407GR2867XAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience31
Completeness85
Years active:1State licenses:1Digital endpointsOther names

851 OPTOMETRY in CO

Provider Addresses for GRACE DILLE

  • 2867 35TH AVE

    GREELEY, CO 806349407

    Phone: (970) 346-1411

    Type: Location

  • 8614 WESTWOOD CENTER DR FL 9

    VIENNA, VA 221822442

    Phone: (703) 847-8899

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-06-30

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250630002065IOptometryCOTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 80634)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7113359415View full group profile
NameSpecialtyState
O P T O M E T R YCO
O P T O M E T R YCO
O P T O M E T R YCO
O P T O M E T R YCO
O P T O M E T R YCO
O P T O M E T R YCO
O P T O M E T R YVA
O P T O M E T R YCO
O P T O M E T R YVA
O P T O M E T R YCO

Reviews

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Frequently asked questions

What unique ID ties claims to GRACE DILLE?
NPI 1124813522 is assigned to GRACE DILLE under the national enumeration system.
Is GRACE DILLE active in the national directory?
GRACE DILLE's public NPI profile is in an active state.
What kind of provider is GRACE DILLE?
The page reflects Optometrist for GRACE DILLE. Clinical services aligned with this taxonomy classification.
What location metadata exists for GRACE DILLE?
The page summarizes Greeley, Colorado for GRACE DILLE; expand the address list for detail.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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