Individual provider Active NPI

Joshua Earl McAdams, O.D.

  • Optometrist
  • Boise, ID
National Provider Identifier
1326302548
Registry record updated Dec 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
ODP-100400 Issued in ID
Practice address
8955 W Hackamore Dr
Boise, ID 83709-1673
Phone
(208) 344-7944
Fax
(208) 343-4676
NPI assigned
Jul 3, 2012
Last updated
Dec 13, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X ODP-100400 ID Primary

Addresses

Primary practice location

8955 W Hackamore Dr
Boise, ID 83709-1673

Mailing address

8955 W Hackamore Dr
Boise, ID 83709-1673
Phone (801) 380-6326

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20171129001437 ID Practitioner - Optometry 3779734272 Reassigns benefits to 3 organizations
Practice locations: Meridian, ID

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Maple Grove Eyecare PCGroup PAC ID 6608101282, 2 clinicians

Practice addresses (Care Compare)

8955 W Hackamore Dr
Boise, ID 83709-1673
Phone (208) 344-7944

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ODP-100400IDMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Maple Grove Eyecare PC CurrentSince Jul 15, 2019 Accepting new patients
Eagle Vision One PLLC Optometrist CurrentSince Dec 9, 2018 Accepting new patients
Dan C. Thieme O.D., P.C Optometrist CurrentSince Oct 27, 2017 Accepting new patients
Dan C Thieme OD PC Optometrist Past Accepting new patients

Locations

8955 W Hackamore Dr
Boise, ID 83709
Phone (208) 344-7944

355 S Eagle Rd
Eagle, ID 83616
Phone (208) 938-2015

1648 NW 2nd St
Meridian, ID 83642
Phone (208) 888-2200

Interoperability endpoints

  • Direct secure messaging: jmcadams@mgeye.intellechartdirect.net

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1341273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639353600000",
    "number": "1326302548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8955 W HACKAMORE DR",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837091673",
            "telephone_number": "801-380-6326",
            "fax_number": "208-343-4676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8955 W HACKAMORE DR",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837091673",
            "telephone_number": "208-344-7944",
            "fax_number": "208-343-4676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCADAMS",
        "first_name": "JOSHUA",
        "middle_name": "EARL",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-03",
        "last_updated": "2021-12-13",
        "certification_date": "2021-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "ID",
            "license": "ODP-100400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boise, ID

Sources for this page

Verify at the official NPI Registry.