Organization Active NPI

Adams Eyecare Inc

Doing business as Adam's Eyecare

  • Optometrist
  • Eagle, ID
National Provider Identifier
1063759199
Registry record updated Apr 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
ODP-1041 Issued in ID
Legal business name
ADAMS EYECARE INC
Doing business as
Adam's Eyecare
Practice address
3541 W Bavaria St
Eagle, ID 83616-6318
Phone
(208) 939-5005
Fax
(208) 939-2496
NPI assigned
Jan 9, 2013
Last updated
Apr 19, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2021

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

Authorized official

Name
Dr. Adam Heiner, ODNPI 1992792469
Title
President
Phone
(208) 283-8815

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X ODP-1041 ID Primary

Addresses

Primary practice location

3541 W Bavaria St
Eagle, ID 83616-6318

Mailing address

3541 W Bavaria St
Eagle, ID 83616-6318
Phone (208) 939-5005

Other names 1

  • Adam's Eyecare Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130325000154 ID Part B Supplier - Clinic/Group Practice 5991940850 Receives reassigned benefits from 2 practitioners
Practice locations: Eagle, ID; Nampa, ID

National Provider Directory

National Provider Directory

Locations

3541 W Bavaria St
Eagle, ID 83616
Phone (208) 939-5005

2103 N Cassia St
Nampa, ID 83651
Phone (208) 465-0088

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1357689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618790400000",
    "number": "1063759199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3541 W BAVARIA ST",
            "city": "EAGLE",
            "state": "ID",
            "postal_code": "836166318",
            "telephone_number": "208-939-5005",
            "fax_number": "208-939-2496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3541 W BAVARIA ST",
            "city": "EAGLE",
            "state": "ID",
            "postal_code": "836166318",
            "telephone_number": "208-939-5005",
            "fax_number": "208-939-2496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADAMS EYECARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-09",
        "last_updated": "2021-04-19",
        "certification_date": "2021-04-19",
        "status": "A",
        "authorized_official_last_name": "HEINER",
        "authorized_official_first_name": "ADAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "208-283-8815",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "ID",
            "license": "ODP-1041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Adam's Eyecare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Eagle, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.