Adam Heiner, O.D. Valid NPI
Individual provider · Optometrist · Eagle, ID
- NPI
- 1992792469
- Type
- Individual (Type 1)
- Primary specialty
- Optometrist
- Specialty group
- Eye and Vision Services Providers
- Taxonomy code
- 152W00000X
- License number
- ODP 1041 (ID)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2005-09-30
- Last updated
- 2021-04-01
Practice location
3541 W Bavaria St
Eagle, ID 83616-6318
(208) 939-5005