NPI age
19 years
Enumerated 2006-11-30
● Active
Type 1 · Individual
DR. John Stephen Kundrat, MD PA
Kundrat is 1 of 4 ophthalmology providers in Lewiston and 1 of 122 in Idaho.
Primary specialty
Ophthalmology
Plus 1 subspecialty
Licensed in
ID, WA
2 states
Status
Active
No deactivations on record
Last NPPES update
2012-12-19
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 122 active ophthalmology providers in Idaho.
NPI age
19 years
≈ at median (19 yr)
State licenses
2 states
Top 87% — 12% of peers are multi-state
Subspecialties
0
27% of peers hold subspecialties
NPI lifetime · 2006 → 2026
2006-11Enumerated in NPPES
2006
2026
Where they practice
Practice location
3316 Fourth Street
Lewiston, ID 835014405
Mailing address
3316 Fourth Street, Bldg 3
Lewiston, ID 835014405
Specialties
-
Ophthalmology PrimaryAn 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...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (ID) | 002460100 | |
| 01 (WA) | 1478601 | MEDICAID |
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.
Practice context
Solo or small practice. No other active providers share this practice address in NPPES.
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