Organization
JUSTIN T HEINTZ O D LLC
Active
Other names
Parkway Eyecare
Organization subpart
No
Provider details
NPI number
Authorized official
DIANA LEE COOPER (BILLING DEPT)
(208) 524-4552
Entity
Organization
Contact information
Practice address
665 S WOODRUFF AVE, IDAHO FALLS, ID 83401-5596
(541) 231-0668
Mailing address
665 S WOODRUFF AVE, IDAHO FALLS, ID 83401-5596
(208) 524-4552
(208) 524-4559
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
06/04/2025
Last updated
04/17/2026
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