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Justin T. Heintz, O.D. LLC

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Company Details

Name: Justin T. Heintz, O.D. LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 01 May 2025 (2 months ago)
Financial Date End: 31 May 2026
Entity Number: 6227138
Place of Formation: IDAHO
File Number: 991855
ZIP code: 83274
County: Bingham County
Principal Address: 1569 N 885 E SHELLEY, ID 83274
Mailing Address: 1569 N 885 E SHELLEY, ID 83274-3201

Agent

Name Role Address
Justin Thomas Heintz Agent 1569 N 885 E, SHELLEY, ID 83274-3201

National Provider Identifier

NPI Number:
1629962865
Certification Date:
2025-06-04

Authorized Person:

Name:
DR. JUSTIN THOMAS HEINTZ
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
152W00000X - Optometrist
Is Primary:
Yes

Contacts:

Filing

Filing Name Filing Number Filing date
Initial Filing 0006227138 2025-05-01

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Date of last update: 22 Jun 2025

Sources: Idaho Secretary of State