Individual provider Active NPI

Darren Williams Heiner, O.D.

  • Optometrist
  • Caldwell, ID
National Provider Identifier
1780935007
Registry record updated Jun 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
ODP-100276 Issued in ID
Practice address
4207 Clock Tower Ave Ste 102
Caldwell, ID 83607-5236
Phone
(208) 510-5150
Fax
(208) 510-6060
NPI assigned
Sep 26, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X ODP-100276 ID Primary

Addresses

Primary practice location

4207 Clock Tower Ave Ste 102
Caldwell, ID 83607-5236

Mailing address

4207 Clock Tower Ave Ste 102
Caldwell, ID 83607-5236
Phone (208) 510-5150

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
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 1

Enrollment IDStateProvider typePAC IDDetails
I20130923000720 ID Practitioner - Optometry 3476797911 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4207 Clock Tower Ave
Suite 102
Caldwell, ID 83607-5236
Phone (208) 510-5150

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Vision Specialists of Idaho PC Optometrist CurrentSince Jun 1, 2021 Accepting new patients
Insight Optical Optometrist PastSince Sep 9, 2013 Accepting new patients

Locations

4207 Clock Tower Ave
#102
Caldwell, ID 83607
Phone (208) 440-5953

Organizations & group practices 2

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": "1348617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624233600000",
    "number": "1780935007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4207 CLOCK TOWER AVE STE 102",
            "city": "CALDWELL",
            "state": "ID",
            "postal_code": "836075236",
            "telephone_number": "208-510-5150",
            "fax_number": "208-510-6060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4207 CLOCK TOWER AVE STE 102",
            "city": "CALDWELL",
            "state": "ID",
            "postal_code": "836075236",
            "telephone_number": "208-510-5150",
            "fax_number": "208-510-6060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEINER",
        "first_name": "DARREN",
        "middle_name": "WILLIAMS",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-09-26",
        "last_updated": "2021-06-21",
        "certification_date": "2021-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "ID",
            "license": "ODP-100276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Caldwell, ID

Sources for this page

Verify at the official NPI Registry.