DR. ALAN WALLACE MCINNES JR. (NPI# 1942345228) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942345228 |
| Entity Type | Individual |
| Full Name | DR. ALAN WALLACE MCINNES JR. |
| Credential | M.D. |
| Practice Address |
323 E Riverside Dr, Suite 136 Eagle Eagle ID 83616-6865 |
| Mailing Address |
323 E Riverside Dr, Suite 136 Eagle ID 83616-6865 |
| Practice Telephone | 2089392939 |
| Mailing Telephone | 2089392939 |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2012-10-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | M11139 | ID | Allopathic & Osteopathic Physicians |
| N | 207W00000X | Ophthalmology | 5755878-1205 | UT | Allopathic & Osteopathic Physicians |
| N | 207W00000X | Ophthalmology | A98662 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
323 E RIVERSIDE DR, SUITE 136 EAGLE |
| City | EAGLE |
| State | ID |
| Zip Code | 83616-6865 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730714049 | Care Medical Housecalls PC | Nurse Practitioner | 2040 E Holgate Ct, Eagle, ID 83616 | 2020-03-06 |
| 1629613823 | Counseling Solutions Center LLC | Marriage & Family Therapist | 2618 East Snocreek, Eagle, ID 83616 | 2019-11-12 |
| 1245726918 | Tracy Lyn Hagadorn | Midwife | 182 State Street, Eagle, ID 83616 | 2018-07-06 |
| 1861922627 | Nicholas A. Stelzner | Counselor | 2419 W. State St. Suite 8, Boise, ID 83616 | 2017-06-14 |
| 1184080210 | Gabriel Guerrero | Dermatology | 323 E Riverside Dr Ste 234, Eagle, ID 83616 | 2016-01-05 |
| 1376940668 | Cecilia Jo Hickam | Dental Hygienist | 1121 E. State Street, Suite - 102-d, Eagle, ID 83616 | 2014-12-02 |
| 1871912634 | Christine E Birch | Psychiatry & Neurology | 1032 S Bridgeway Pl Ste 110, Eagle, ID 83616 | 2014-04-09 |
| 1043552524 | Tori Croshaw | Social Worker | 372 S Eagle Rd Ste 190, Eagle, ID 83616 | 2013-03-21 |
| 1053650010 | Kellie Ann Northam | Nurse Practitioner | 192 West State Street, Eagle, ID 83616 | 2013-02-11 |
| 1437494457 | Mary Beth Roehling | Nurse Practitioner | 2040 E Hologate Ct, Eagle, ID 83616 | 2012-12-03 |
| Find all providers in zip 83616 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316289051 | William Edward Smith | Ophthalmology | 143 Robins Egg Lane, Eagle, CO 81631-1541 | 2013-03-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104461649 | Bonner General Hospital, Inc | Ophthalmology | 423 N 3rd Ave Ste 102, Sandpoint, ID 83864-1511 | 2019-11-07 |
| 1437608007 | Carrie Boroughs Breaux | Ophthalmology | 5019 N Sawyer Ave, Garden City, ID 83714 | 2016-09-23 |
| 1255678546 | John S Kundrat, Md Pa | Ophthalmology | 3316 4th St, Bldg 3, Lewiston, ID 83501-4405 | 2013-01-07 |
| 1093071219 | Cassandra White | Ophthalmology | 2720 W Cherry Ln, Meridian, ID 83642-1137 | 2012-04-02 |
| 1295050110 | Ali Torab Parhiz | Ophthalmology | 901 N Curtis Rd Ste 302, Boise, ID 83706-1341 | 2010-04-03 |
| 1861727323 | Kyle Nathaniel Klingler | Ophthalmology | 1415 Parkview Dr., Twin Falls, ID 83301-3250 | 2009-10-15 |
| 1720248305 | James Benjamin Earl | Ophthalmology | 13923 W. Wainwright Dr Ste 301, Boise, ID 83713 | 2008-06-17 |
| 1881894517 | Joshua R Fullmer Md Pllc | Ophthalmology | 381 E 4th N Ste 100, Rexburg, ID 83440-1684 | 2007-07-20 |
| 1093911133 | Eye Clinic of Idaho Falls,pa | Ophthalmology | 530 S Holmes Ave, Idaho Falls, ID 83401-4751 | 2007-06-25 |
| 1205974136 | David Ray Anderson | Ophthalmology | 530 S Holmes, Idaho Falls, ID 83403-2410 | 2007-02-02 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.