DR. DALLIN HEINER (O.D.) – Optometrist, NPI 1245346980

DR. DALLIN HEINER (O.D.) is a healthcare provider. based in Rexburg, Idaho. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. ODP 100060 (ID). The NPI Number for DR. DALLIN HEINER (O.D.) is 1245346980

Main info

Male
22 Years Of Experience
Name
DR. DALLIN HEINER (O.D.)
NPI
1245346980
Phone
(208) 359-1880
Address
244 E MAIN ST
Enumeration Date
23 August 2006
Last Update Date
24 September 2008

Doctor Profile

Medical School Name
PACIFIC UNIVERSITY - COLLEGE OF OPTOMETRY
Secondary Phone
2083591880
Graduation Year
2004 (22 years ago)
PAC ID
2062480676
Group Practice PAC ID
8426026030
Professional Enrollment ID
I20040923001224
Address ID
ID834402022RE244XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

268 OPTOMETRY in ID

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Provider Addresses for DR. DALLIN HEINER (O.D.)

  • 244, East Main Street, Rexburg, Madison County, Idaho, 83440, United States

    REXBURG, ID 834402022

    Phone: (208) 359-1880

    Fax: (208) 359-2025

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-09-23

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040923001224IOptometryIDTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes2422$0
92083Exam of visual field with extended testing1514$0
View full utilization report →

Insurance plans in this area (ZIP 83440)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8426026030View full group profile
NameSpecialtyState
O P T O M E T R YID

Reviews

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Frequently asked questions

What federal number belongs to DR. DALLIN HEINER (O.D.)?
The federal identifier for DR. DALLIN HEINER (O.D.) is NPI 1245346980.
Is DR. DALLIN HEINER (O.D.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What does DR. DALLIN HEINER (O.D.) treat or focus on?
Patients typically see DR. DALLIN HEINER (O.D.) under the specialty Optometrist. Clinical services aligned with this taxonomy classification.
What location metadata exists for DR. DALLIN HEINER (O.D.)?
The page summarizes Rexburg, Idaho for DR. DALLIN HEINER (O.D.); expand the address list for detail.
How can I contact DR. DALLIN HEINER (O.D.)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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