Daniel E Iwasa, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

ODP-856 Issued in ID

Practice address

915 3Rd Ave N
Payette, ID 83661-2403

Phone

(208) 642-2151

Fax

(208) 642-7374

NPI assigned

Sep 19, 2007

Last updated

Jul 11, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Optometry

Education

Southern California College of Optometry, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

50 of 100Reported as individual

Quality

0

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Iwasa Eye Center P.a.

  • Optometrist
  • Fruitland, ID
  • NPI 1346383957
  Medicare reassignment NPD Authorized official
• Intermountain Eye and Laser Centers PLLC

  dba Intermountain Eye Centers

  • Glaucoma Specialist (Ophthalmology) Physician
  • Eagle, ID
  • NPI 1518643923

  Optometrist

  NPD (past)

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

{
    "created_epoch": "1190160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689033600000",
    "number": "1750577219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "925 NW 12TH ST",
            "city": "FRUITLAND",
            "state": "ID",
            "postal_code": "836195044",
            "telephone_number": "208-452-2151",
            "fax_number": "208-452-6508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 3RD AVE N",
            "city": "PAYETTE",
            "state": "ID",
            "postal_code": "836612403",
            "telephone_number": "208-642-2151",
            "fax_number": "208-642-7374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IWASA",
        "first_name": "DANIEL",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-09-19",
        "last_updated": "2023-07-11",
        "certification_date": "2023-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "ID",
            "license": "ODP-856",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Idahodhwbh3 Payette CMH PSR
• Insight Matters, Inc
• Integrity Care Dental LLC
• Integrity Therapeutic Services
• Integrity Therapeutic Services
• William Jackson, M.D.
• Jennifer Jimenez
• Journey Within Counseling
• Kelli Karsten, LPC
• Jacky Ann King

• Optometrist in Payette, ID
• Providers in Payette, ID by specialty
• Optometrist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.