Jon E. Heitzman, O.D.

Optometrist · Jerome, ID

Individual Active NPI

NPI number 1194838375

Practice location

2680 S Lincoln Ave
Jerome, ID 83338-6128
Phone
(208) 324-4333

Open in Google Maps

NPI record

NPI
1194838375
Entity type
Individual (Type 1)
Enumeration date
August 15, 2006
Last updated
July 9, 2007
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Optometrist Primary 152W00000X ODP-495 ID

Mailing address

2051 Trail Creek Cir
Twin Falls, ID 83301-8352
Phone
(208) 734-0036

About Dr. Heitzman

Jon E. Heitzman, O.D. is a healthcare provider registered in the NPI registry with the primary taxonomy Optometrist (code 152W00000X). The practice location is 2680 S Lincoln Ave, Jerome, ID 83338-6128. The NPI number 1194838375 was assigned on August 15, 2006 and the record was last updated on July 9, 2007.

Dr. Heitzman lists a license in the registry: #ODP-495 (ID) for Optometrist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jon E. Heitzman, O.D.?

The NPI number is 1194838375.

What is the phone number of Dr. Heitzman?

The phone number listed for the practice location is (208) 324-4333.

Where is Dr. Heitzman located?

2680 S Lincoln Ave, Jerome, ID 83338-6128.

What is the taxonomy code for Dr. Heitzman?

The primary taxonomy code is 152W00000X – Optometrist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

Other Optometrist providers in Jerome

All Optometrist providers in Jerome, ID →