Steven G Iwasa, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

ODD-649 Issued in ID

Practice address

36 W Court St
Weiser, ID 83672-1941

Phone

(208) 414-1600

Fax

(208) 414-1607

NPI assigned

Nov 7, 2006

Last updated

Jul 9, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jul 1, 2025 through Jul 1, 2027

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Steven G Iwasa OD PLLC

  dba Weiser Vision Clinic

  • Optometrist
  • Weiser, ID
  • NPI 1184994147
  NPD (past) Authorized official
• Iwasa Eye Center P.a.

  • Optometrist
  • Fruitland, ID
  • NPI 1346383957
  NPD (past)

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1003985466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 W COURT ST",
            "city": "WEISER",
            "state": "ID",
            "postal_code": "836721941",
            "telephone_number": "208-414-1600",
            "fax_number": "208-414-1607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 W COURT ST",
            "city": "WEISER",
            "state": "ID",
            "postal_code": "836721941",
            "telephone_number": "208-414-1600",
            "fax_number": "208-414-1607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IWASA",
        "first_name": "STEVEN",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-07",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "ID",
            "license": "ODD-649",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brandi H Hudson
• Caren Shinayo Imada, OTR/L
• Indianhead Business LLC
• Integrity Therapeutic Services
• Integrity Therapeutic Services
• Tyler Jue, NP
• Kindred Nursing Centers West, LLC (Kindred Nursing and Rehabilitation - Weiser)
• Michael Lafferty, PTA
• Audrey Mae Lande, COTA/L
• Evan W. Lee Jr., D.O.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.