Dr Justin Thomas Heintz, OD | |
524 N State St, Shelley, ID 83274 | |
(208) 357-5733 | |
(208) 357-2240 |
Full Name | Dr Justin Thomas Heintz |
---|---|
Gender | Male |
Speciality | Optometry |
Experience | 15 Years |
Location | 524 N State St, Shelley, Idaho |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1548499882 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 100613 (Idaho) | Secondary |
152W00000X | Optometrist | 3307ATI (Oregon) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
All Family Vision Llc | 5890955413 | 6 |
Parkway Eyecare P C | 3274594932 | 3 |
Provider Name | All Family Vision Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1255600763 PECOS PAC ID: 5890955413 Enrollment ID: O20120319000779 |
Provider Name | Optometric Care Of Oregon |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1396400313 PECOS PAC ID: 4284014465 Enrollment ID: O20220706000625 |
Mailing Address | Practice Location Address |
---|---|
Dr Justin Thomas Heintz, OD 524 N State St, Shelley, ID 83274 Ph: (208) 357-5733 | Dr Justin Thomas Heintz, OD 524 N State St, Shelley, ID 83274 Ph: (208) 357-5733 |
Dr. Kristan C Sparks, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 169 S Emerson Ave, Shelley, ID 83274 Phone: 208-357-5733 Fax: 208-357-2240 | |
Snake River Eye Associates Of Shelley, Pllc Optometrist Medicare: Medicare Enrolled Practice Location: 357 W Fir St, Shelley, ID 83274 Phone: 208-881-5145 Fax: 208-881-5146 | |
Shelley Eyecare Optometrist Medicare: Medicare Enrolled Practice Location: 524 N State St, Shelley, ID 83274 Phone: 208-357-5733 Fax: 208-357-2240 |