Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JUSTIN THOMAS HEINTZ, OD
ActiveDR. JUSTIN THOMAS HEINTZ, OD is a Optometrist healthcare provider located in SHELLEY, Idaho. NPI 1548499882 is currently active in the NPPES registry. Verify at CMS.
Optometrist · SHELLEY, ID
Registration Details
- NPI Number
- 1548499882
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 8, 2009 (17.079746431993 yrs)
- Last Updated
- Oct 29, 2024
- Licenses
-
100613 (ID)3307ATI (OR)
Practice Information
- Address
-
524 N STATE STSHELLEY, ID, 83274Browse ID providers · Browse ZIP 83274
- Phone
- 2083575733
- Fax
- 2083572240
- Primary Specialty
-
Optometrist
152W00000X
- Additional Specialty
- Optometrist
Other Optometrist Providers in SHELLEY, ID
| Name | Credential | NPI |
|---|---|---|
| DENNIS RADFORD | O.D. | 1457461261 |
| DR. KRISTAN C SPARKS | O.D. | 1174723332 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.