Organization
MADISON CLINIC OPTOMETRY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DALLIN HEINER O.D. (PRESIDENT)
(208) 359-1880
Entity
Organization
Contact information
Practice address
244 E MAIN ST, REXBURG, ID 83440-2022
(208) 359-1880
(208) 359-2025
Mailing address
244 E MAIN ST, REXBURG, ID 83440-2022
(208) 359-1880
(208) 359-2025
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010149064
REGENCE BLUE SHIELD OF ID
ID
01
—
V6499
BLUE CROSS
ID
Enumeration date
08/31/2006
Last updated
11/28/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us