IndividualActive
Adam Heiner, O.D.
NPI 1992792469 · Optometrist · Eagle, ID
Provider details
- NPI number
- 1992792469
- Entity type
- Individual
- Primary specialty
- OptometristEye and Vision Services Providers
- Credential
- O.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- ODP 1041 (ID)
Specialties & taxonomies
Eye and Vision Services Providers
Practice location
3541 W Bavaria St
Eagle, ID 83616-6318
Phone: (208) 939-5005
Fax: (208) 939-2496
Approximate (ZIP-level) locationGet directions
Mailing address
3541 W Bavaria St
Eagle, ID 83616-6318
Registry dates
- Enumerated
- 2005-09-30
- Last updated
- 2021-04-01
- Certified
- 2021-04-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.