Justin T Heintz O D LLC
NPI #1629962865 in Idaho Falls, Idaho
Provider Information
- NPI Number
- 1629962865
- Entity Type
- Organization
- Organization Name
- Justin T Heintz O D LLC
- Primary Specialty
- Optometrist
- Enumeration Date
- Jun 4, 2025
- Last Updated
- Sep 11, 2025
Practice Location
- Address
- 665 S WOODRUFF AVE
- City
- Idaho Falls
- State
- Idaho
- ZIP Code
- 83401-5596
- Phone
- (541) 231-0668
Authorized Official
- Name
- DIANA LEE COOPER
- Title
- BILLING DEPT MANAGER
- Phone
- (541) 740-8021
Specialties & Taxonomy Codes
| Specialty |
|---|
| Optometrist |
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