NPI age
13 years
Enumerated 2013-01-07
● Active Type 2 · Organization
John S Kundrat, MD PA
John S Kundrat, MD PA is 1 of 122 ophthalmology organizations in Idaho.
Primary specialty
Ophthalmology
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Kundrat
President
Last NPPES update
2013-01-07
Source: monthly bulk 2026-05
How this organization compares
Across 122 active ophthalmology providers in Idaho.
NPI age
13 years
↓ 6 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2013 → 2026
2013-01Enumerated in NPPES
2013
2026
Where they practice
Primary practice location
3316 4th St, Bldg 3
Lewiston, ID 835014405
Mailing address
3316 4th St, Bldg 3
Lewiston, ID 835014405
Authorized official
John S Kundrat, MD
President
📞 2087460458
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 | |
| 05 (WA) | 1478601 |
Practice context
Single-site organization. Only one practice location on file.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.