Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Scott Kawakami, OD

Individual provider Optometrist · NPI 1457808719

Scott Kawakami, OD is an Optometry in Idaho Falls, Idaho. Graduated from Southern California College of Optometry in 2016, 10 years ago. Practices as a sole proprietor. Licensed in Idaho and Nevada.

Years since qualifying
10
Trained at
Southern California College of Optometry
Licensed in
ID, NV
In the registry since
2016
Specialties on file
2
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

700 E 17th St
Idaho Falls, ID 83404-6152
Phone: (208) 522-2839
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence ODP-100529 (ID)
Optometrist Taxonomy 152W00000X · Licence 889 (NV)

Record details

NPI number1457808719
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorYes
NPI enumeratedSeptember 4, 2016
Last updated in NPPESJune 22, 2021
Certification dateJune 2, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolSOUTHERN CALIFORNIA COLLEGE OF OPTOMETRY
Graduated 2016 (10 years in practice)
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

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