Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1194838375 Individual Practitioner Male Practitioner

Dr. Jon E Heitzman , OD

Optometrist • Jerome, ID

Professional Overview & Biography Verified Profile Summary

Dr. Jon Heitzman, OD is a registered healthcare professional specializing in Optometrist in Jerome, ID. Practice services are available at 2680 S LINCOLN AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2680 S Lincoln Ave

Jerome, ID 833386128

Telephone 2083244333
Associated Practice Facility / Clinic
🏢 Walmart Inc. Facility NPI 1700803053

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Jerome, ID

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 32.0 Yrs
State Avg: 21.1 Yrs
Regional Practice Density
2 Specialists

Practicing in Jerome, ID (385 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License ID ODP-495

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
8041644 (ID)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
NPI 1164201554

Doctor of Pharmacy (Pharm.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 09, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 09, 2007

Registered at 2680 S LINCOLN AVE, JEROME, ID 833386128 (Tel: 2083244333)

📍
Updated Business Mailing Address July 09, 2007

Registered at 2051 TRAIL CREEK CIR, TWIN FALLS, ID 833018352 (Tel: 2087340036)

👤
Provider Name / Credentials Updated July 09, 2007

Recorded as JON HEITZMAN, O.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2007

Optometrist (License #ODP-495 in ID)

🟢
Initial NPI Registration & Enumeration August 15, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1194838375
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 15, 2006
Last Update: July 09, 2007
Sole Proprietor: No

Mailing Address

2051 Trail Creek Cir

Twin Falls, ID 833018352

Phone: 2087340036

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.