Organization Active NPI

Brian Patrick Adair OD PLLC

  • Eyewear Supplier
  • American Falls, ID
National Provider Identifier
1740476233
Registry record updated Jun 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
ODP-100147 Issued in ID
Legal business name
BRIAN PATRICK ADAIR OD PLLC
Practice address
475 Hillcrest Ave
American Falls, ID 83211-1323
Phone
(208) 226-2333
Fax
(208) 226-2785
NPI assigned
Sep 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2009

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

Authorized official

Name
Dr. Brian Patrick Adair, O.D.NPI 1740488782
Title
Optometrist
Phone
(208) 226-2333

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
Eyewear Supplier 332H00000X ODP-100147 ID Primary

Addresses

Primary practice location

475 Hillcrest Ave
American Falls, ID 83211-1323

Mailing address

475 Hillcrest Ave
American Falls, ID 83211-1323
Phone (208) 226-2333

Other names 1

  • American Falls Eye Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070928000445 ID Part B Supplier - Clinic/Group Practice 3779678214 Receives reassigned benefits from 1 practitioner
Practice locations: American Falls, ID

National Provider Directory

National Provider Directory

Locations

475 Hillcrest Ave
American Fls, ID 83211
Phone (208) 226-2333

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1190160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243814400000",
    "number": "1740476233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "475 HILLCREST AVE",
            "city": "AMERICAN FALLS",
            "state": "ID",
            "postal_code": "832111323",
            "telephone_number": "208-226-2333",
            "fax_number": "208-226-2785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 HILLCREST AVE",
            "city": "AMERICAN FALLS",
            "state": "ID",
            "postal_code": "832111323",
            "telephone_number": "208-226-2333",
            "fax_number": "208-226-2785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIAN PATRICK ADAIR OD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-19",
        "last_updated": "2009-06-01",
        "status": "A",
        "authorized_official_last_name": "ADAIR",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "PATRICK",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "208-226-2333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "ID",
            "license": "ODP-100147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "American Falls Eye Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in American Falls, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2009; 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.