DR. JOHN STEPHEN KUNDRAT MD PA
NPI 1063589133
Ophthalmology in Lewiston, ID

Active since November 30, 2006
3316 FOURTH STREET, LEWISTON, ID 83501(208) 746-0458(208) 743-6020 Get Directions Write a Review

NPPES record last updated: December 19, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. John Stephen Kundrat Md Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JOHN STEPHEN KUNDRAT MD PA (NPI 1063589133) is an individual ophthalmology provider in Lewiston, Idaho, licensed in Idaho (M3432) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1063589133
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. JOHN STEPHEN KUNDRATCredential: MD PA
Location Address3316 FOURTH STREETLewiston, ID 83501-4405
Mailing Address3316 Fourth Street, Bldg 3Lewiston, ID 83501-4405 · (208) 746-0458 · Fax (208) 743-6020
Fax(208) 743-6020
Sole ProprietorNo
Enumeration DateNovember 30, 2006
Last NPPES UpdateDecember 19, 2012
NPI 1063589133 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Licenses Licensed in ID · M3432 Licensed in WA · MD00014874
Definition
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.
3316 FOURTH STREET, Lewiston, ID 83501

Other Identifiers 4

Medicare UPINA42611
Other1478601WA · Medicaid
Medicaid002460100ID
Medicare ID-Type Unspecified1110827ID

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is John Kundrat's NPI number?

The NPI number for John Kundrat is 1063589133. It was assigned to this individual provider in the NPPES registry on November 30, 2006.

Where is John Kundrat located?

John Kundrat practices at 3316 Fourth Street, Lewiston, ID 83501. The listed phone number is (208) 746-0458.

What is John Kundrat's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

When was this NPI record last updated?

The NPPES record for John Kundrat was last updated on December 19, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.