NPI age
19 years
Enumerated 2006-08-31
● Active Type 2 · Organization
Madison Clinic Optometry, P.c.
Madison Clinic Optometry, P.c. is 1 of 598 optometrist organizations in Idaho.
Primary specialty
Optometrist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Heiner
President
Last NPPES update
2007-11-28
Source: monthly bulk 2026-05
How this organization compares
Across 598 active optometrist providers in Idaho.
NPI age
19 years
≈ at median (18 yr)
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2006 → 2026
2006-08Enumerated in NPPES
2006
2026
Where they practice
Primary practice location
244 E Main St
Rexburg, ID 834402022
Mailing address
244 E Main St
Rexburg, ID 834402022
Authorized official
Dallin Heiner, O.D.
President
📞 2083591880
Individual providers at this organization
2 individual providers on file at this primary practice address.
- Sally Hacking, O.D. Optometrist NPI 1609982271
- Dallin Heiner, O.D. Optometrist NPI 1245346980
Specialties
-
Optometrist PrimaryDoctors 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...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | V6499 | BLUE CROSS |
| 01 (ID) | 000010149064 | REGENCE BLUE SHIELD OF ID |
Practice context
Multi-provider organization. 2 individual providers on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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