Active NPI
Brian Patrick Adair OD PLLC
- Eyewear Supplier
- American Falls, ID
National Provider Identifier
1740476233
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Eyewear Supplier
- License
- ODP-100147
- 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
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.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 DirectoryLocations
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.