Healthcare Provider Details

I. General information

NPI: 1437012770
Provider Name (Legal Business Name): FAMILY EYE CARE SPECIALISTS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/04/2025
Last Update Date: 12/04/2025
Certification Date: 12/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

315 S MIDDLETON RD STE 100
MIDDLETON ID
83644-5551
US

IV. Provider business mailing address

315 S MIDDLETON RD STE 100
MIDDLETON ID
83644-5551
US

V. Phone/Fax

Practice location:
  • Phone: 208-585-3445
  • Fax: 208-459-2034
Mailing address:
  • Phone: 208-585-3445
  • Fax: 208-459-2034

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number State

VIII. Authorized Official

Name: DOUGLAS WAYNE ADAMS
Title or Position: PRESIDENT
Credential:
Phone: 208-459-2020