Active NPI
Justin Thomas Heintz, OD
- Optometrist
- Idaho Falls, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 3307ATI
- Practice address
- 665 S Woodruff Ave
Idaho Falls, ID 83401-5596 - Phone
- (208) 524-4552
- Fax
- (208) 524-4559
- NPI assigned
- Jul 8, 2009
- Last updated
- May 12, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 3307ATI | OR | Primary |
| Optometrist | 152W00000X | 100613 | ID |
Addresses
Primary practice location
665 S Woodruff Ave
Idaho Falls, ID 83401-5596
Mailing address
665 S Woodruff Ave
Idaho Falls, ID 83401-5596
Phone (208) 524-4552
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR, ID
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Pacific University - College of Optometry, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
320 S Woodruff Ave
Idaho Falls, ID 83401-4329
Phone (208) 524-4552
524 N State St
Shelley, ID 83274-1154
Phone (208) 357-5733
665 S Woodruff Ave
Idaho Falls, ID 83401-5596
Phone (208) 524-4552
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 11 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 100613 | ID | MD | Optometrist |
| 3307ATI | OR | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Parkway Eyecare, P.C. | Optometrist | Current | Accepting new patients |
| Optometric Care of Oregon | Optometrist | Current | Accepting new patients |
| All Family Vision LLC | Optometrist | Current | Accepting new patients |
| Optometric Care of Oregon | Optometrist | Current | Accepting new patients |
| Justin T Heintz O D LLC | Optometrist | Current | Accepting new patients |
| Parkway Eyecare PC | Optometrist | Current | Accepting new patients |
| Optometric Care of Oregon | Optometrist | Past | Accepting new patients |
| Optometric Care of Oregon | Optometrist | Past | Accepting new patients |
Locations
3333 Quality Dr
Rncho Cordova, CA 95670
Phone (704) 712-0564
320 S Woodruff Ave
Idaho Falls, ID 83401
Phone (208) 357-5733
665 S Woodruff Ave
Idaho Falls, ID 83401
Phone (208) 524-4552
524 N State St
Shelley, ID 83274
Phone (208) 357-5733
1597 SW 53rd St
Corvallis, OR 97333
Phone (541) 757-8844
207 Coburg Rd
Ste 105
Eugene, OR 97401
Phone (541) 338-4844
22640 SE Stark St
Gresham, OR 97030
Phone (503) 667-0441
1810 Summer St NE
Salem, OR 97301
Phone (503) 364-0767
990 Broadway St NE
Ste 100
Salem, OR 97301
Phone (503) 364-0767
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Optometrist
- Corvallis, OR
- NPI 1255600763
-
- Optometrist
- Eugene, OR
- NPI 1215500855
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1247011200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778544000000",
"number": "1548499882",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "665 S WOODRUFF AVE",
"city": "IDAHO FALLS",
"state": "ID",
"postal_code": "834015596",
"telephone_number": "208-524-4552",
"fax_number": "208-524-4559"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "665 S WOODRUFF AVE",
"city": "IDAHO FALLS",
"state": "ID",
"postal_code": "834015596",
"telephone_number": "208-524-4552",
"fax_number": "208-524-4559"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEINTZ",
"first_name": "JUSTIN",
"middle_name": "THOMAS",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-07-08",
"last_updated": "2026-05-12",
"certification_date": "2026-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "OR",
"license": "3307ATI",
"primary": true
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "ID",
"license": "100613",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Idaho Falls, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.