Alan Paul Adamson, O.D
Individual provider Active NPI Optometrist · Idaho Falls, ID
NPI 1790762524 · NPPES record last updated Jul 13, 2026
Key facts
- NPI
- 1790762524
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- ODP-1028 (ID)
- Practice address
- 2300 E 17TH St
Suite 1157
Idaho Falls, ID 83404-6504 - Phone
- (208) 552-3355
- Fax
- (208) 522-6120
- NPI assigned
- Dec 22, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ID
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080808000372 | ID | Practitioner - Optometry | 0244304285 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ODP-1028 | ID | MD | Optometrist |
| 359678-9934 | UT | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alan Adamson, OD, PC | Optometrist | Current |
Accepting new patients |
| Jones Eye Care, PLLC | Optometrist | Past |
Accepting new patients |
Locations
2300 E 17th St
Spc 1157
Idaho Falls, ID 83404
Phone (208) 552-3355
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | ODP-1028 | ID | Yes |
| Optometrist | 152W00000X | 359678-9934 | UT |
Addresses
Primary practice location
2300 E 17TH St
Suite 1157
Idaho Falls, ID 83404-6504
Mailing address
3063 Old Castle LN
Idaho Falls, ID 83404-7352
Phone (208) 522-3237
Other providers in Idaho Falls, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 13, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.