NPIMap

Organization Active NPI

Alan Adamson, OD, PC

  • Optometrist
  • Idaho Falls, ID
National Provider Identifier
1780847442
Registry record updated Jul 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
ODP-1028 Issued in ID
Legal business name
ALAN ADAMSON, OD, PC
Practice address
2300 E 17TH St
Suite 1157
Idaho Falls, ID 83404-6504
Phone
(208) 552-3355
Fax
(208) 552-6120
NPI assigned
Jul 2, 2008
Last updated
Jul 2, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2008

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

Authorized official

Name
Dr. Alan P Adamson, O.D.NPI 1790762524
Title
Ceo
Phone
(208) 552-3355

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
Optometrist 152W00000X ODP-1028 ID Primary

Addresses

Primary practice location

2300 E 17TH St
Suite 1157
Idaho Falls, ID 83404-6504

Mailing address

PO Box 3187
Idaho Falls, ID 83403-3187
Phone (208) 552-3355

Other identifiers 3

IdentifierTypeStateIssuer
000010144405OtherIDREGENCE BLUESHIELD
V4650OtherIDBLUE CROSS OF IDAHO
807677100MedicaidID

National Provider Directory

National Provider Directory

Locations

2300 E 17th St
Spc 1157
Idaho Falls, ID 83404
Phone (208) 552-3355

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1214956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214956800000",
    "number": "1780847442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3187",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834033187",
            "telephone_number": "208-552-3355",
            "fax_number": "208-552-6120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 E 17TH ST",
            "address_2": "SUITE 1157",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834046504",
            "telephone_number": "208-552-3355",
            "fax_number": "208-552-6120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALAN ADAMSON, OD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-02",
        "last_updated": "2008-07-02",
        "status": "A",
        "authorized_official_last_name": "ADAMSON",
        "authorized_official_first_name": "ALAN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "208-552-3355",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "ID",
            "license": "ODP-1028",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BLUESHIELD",
            "identifier": "000010144405",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF IDAHO",
            "identifier": "V4650",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "807677100",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Idaho Falls, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.