Justin T Heintz O D LLC
NPI 1629962865 · Optometrist · Idaho Falls, ID
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Justin T Heintz O D LLC is a Optometrist organization in Idaho Falls, ID (NPI 1629962865).
Provider details
- NPI number
- 1629962865
- Entity type
- Organization
- Primary specialty
- OptometristEye and Vision Services Providers
- Organization subpart
- No
- Authorized official
- Diana Cooper, Billing Dept(208) 524-4552
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Parkway Eyecare
Registry dates
- Enumerated
- 2025-06-04
- Last updated
- 2026-04-17
- Certified
- 2026-04-17
Frequently asked questions
- What is Justin T Heintz O D LLC's NPI number?
- Justin T Heintz O D LLC's National Provider Identifier (NPI) is 1629962865, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Justin T Heintz O D LLC?
- Justin T Heintz O D LLC is classified in the NPPES registry as Optometrist (Eye and Vision Services Providers).
- Where is Justin T Heintz O D LLC located?
- Justin T Heintz O D LLC's practice location on file with NPPES is 665 S Woodruff Ave, Idaho Falls, ID 83401-5596.
- What is Justin T Heintz O D LLC's phone number?
- The practice phone number listed in the NPPES registry for Justin T Heintz O D LLC is (541) 231-0668.
- Does Justin T Heintz O D LLC accept Medicare?
- Justin T Heintz O D LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Justin T Heintz O D LLC?
- The authorized official listed on Justin T Heintz O D LLC's NPPES record is Diana Cooper, Billing Dept. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Justin T Heintz O D LLC's NPI active?
- Yes — Justin T Heintz O D LLC's NPI (1629962865) is active in the NPPES registry as of the last update on 2026-04-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.