Individual provider Active NPI

Justin Thomas Heintz, OD

  • Optometrist
  • Idaho Falls, ID
National Provider Identifier
1548499882
Registry record updated May 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3307ATI Issued in OR
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, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, ID2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20100602000826 OR Practitioner - Optometry 7113056094 Reassigns benefits to 2 organizations
I20240403003993 ID Practitioner - Optometry 7113056094 Reassigns benefits to 2 organizations

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
Parkway Eyecare P CGroup PAC ID 3274594932, 3 clinicians

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

ProcedureNumber of procedures
Cataract surgery11

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
100613IDMDOptometrist
3307ATIORMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Parkway Eyecare, P.C. Optometrist CurrentSince Aug 7, 2023 Accepting new patients
Optometric Care of Oregon Optometrist CurrentSince Mar 21, 2024 Accepting new patients
All Family Vision LLC Optometrist CurrentSince Jan 1, 2012 Accepting new patients
Optometric Care of Oregon Optometrist CurrentSince Mar 21, 2024 Accepting new patients
Justin T Heintz O D LLC Optometrist CurrentSince Oct 28, 2025 Accepting new patients
Parkway Eyecare PC Optometrist CurrentSince Jan 6, 2024 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.

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

Verify at the official NPI Registry.