Individual provider Active NPI

Brian Patrick Adair, O.D.

  • Optometrist
  • American Falls, ID
National Provider Identifier
1740488782
Registry record updated Jul 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
ODP-100147 Issued in ID
Practice address
475 Hillcrest Ave
American Falls, ID 83211-1323
Phone
(208) 226-2333
NPI assigned
Jul 10, 2007
Sex
Male
Sole proprietor
No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery56

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.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20070928000439 ID Practitioner - Optometry 8325133861 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ODP-100147IDMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Brian Patrick Adair OD PLLC CurrentSince Jul 30, 2007 Accepting new patients
American Falls Vision Ctr Optometrist PastSince Jul 30, 2007 Accepting new patients

Locations

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

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X ODP-100147 ID Primary

Addresses

NPPES NPI Registry

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 10, 2007.

{
    "created_epoch": "1184025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184025600000",
    "number": "1740488782",
    "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"
        },
        {
            "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADAIR",
        "first_name": "BRIAN",
        "middle_name": "PATRICK",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-10",
        "last_updated": "2007-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "ID",
            "license": "ODP-100147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in American Falls, ID

Sources for this page

Verify at the official NPI Registry.