Individual provider Active NPI

Alan Paul Adamson, O.D

  • Optometrist
  • Idaho Falls, ID
National Provider Identifier
1790762524
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
ODP-1028 Issued in 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
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080808000372 ID Practitioner - Optometry 0244304285

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
359678-9934UTMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Alan Adamson, OD, PC Optometrist CurrentSince Jul 11, 2003 Accepting new patients
Jones Eye Care, PLLC Optometrist PastSince May 8, 2022 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.

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

Verify at the official NPI Registry.