Active NPI
Alan Paul Adamson, O.D
- Optometrist
- Idaho Falls, ID
National Provider Identifier
1790762524
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- ODP-1028
- 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
- Last updated
- Jul 13, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | ODP-1028 | ID | Primary |
| 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
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080808000372 | ID | Practitioner - Optometry | 0244304285 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 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
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Optometrist
- Idaho Falls, ID
- NPI 1780847442
-
- Optometrist
- Idaho Falls, ID
- NPI 1114662418
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135209600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1790762524",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3063 OLD CASTLE LN",
"city": "IDAHO FALLS",
"state": "ID",
"postal_code": "834047352",
"telephone_number": "208-522-3237"
},
{
"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": "208-522-6120"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADAMSON",
"first_name": "ALAN",
"middle_name": "PAUL",
"credential": "O.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-22",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "ID",
"license": "ODP-1028",
"primary": true
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "UT",
"license": "359678-9934",
"primary": false
}
],
"identifiers": [],
"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 13, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.