Provider Demographics
NPI:1326302548
Name:MCADAMS, JOSHUA EARL (OD)
Entity Type:Individual
Prefix:DR
First Name:JOSHUA
Middle Name:EARL
Last Name:MCADAMS
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:8955 W HACKAMORE DR
Mailing Address - Street 2:
Mailing Address - City:BOISE
Mailing Address - State:ID
Mailing Address - Zip Code:83709-1673
Mailing Address - Country:US
Mailing Address - Phone:801-380-6326
Mailing Address - Fax:208-343-4676
Practice Address - Street 1:8955 W HACKAMORE DR
Practice Address - Street 2:
Practice Address - City:BOISE
Practice Address - State:ID
Practice Address - Zip Code:83709-1673
Practice Address - Country:US
Practice Address - Phone:208-344-7944
Practice Address - Fax:208-343-4676
Is Sole Proprietor?:No
Enumeration Date:2012-07-03
Last Update Date:2021-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDODP-100400152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist