MADISON CLINIC OPTOMETRY, P.C.
NPI 1598876997
Optometrist in Rexburg, ID
About Madison Clinic Optometry, P.c. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MADISON CLINIC OPTOMETRY, P.C. (NPI 1598876997) is a healthcare organization registered as an optometrist in Rexburg, Idaho and active in the NPI registry since August 2006. The organization lists Dallin Heiner, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Madison Clinic Optometry, P.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by January 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Madison Clinic Optometry, P.C., which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (2)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Madison Clinic Optometry, P.C.'s NPI number?
The NPI number for Madison Clinic Optometry, P.C. is 1598876997. It was assigned to this organization in the NPPES registry on August 31, 2006.
Where is Madison Clinic Optometry, P.C. located?
Madison Clinic Optometry, P.C. is located at 244 E Main St, Rexburg, ID 83440. The listed phone number is (208) 359-1880.
What is Madison Clinic Optometry, P.C.'s specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Madison Clinic Optometry, P.C. enrolled in Medicare?
Yes. Madison Clinic Optometry, P.C. is registered in the Medicare PECOS enrollment system.
When is Madison Clinic Optometry, P.C.'s Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Idaho, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Madison Clinic Optometry, P.C.?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Optometry, reassign their Medicare billing to Madison Clinic Optometry, P.C.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Madison Clinic Optometry, P.C. accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 3 other insurers list Madison Clinic Optometry, P.C. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Madison Clinic Optometry, P.C. was last updated on November 28, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Madison Clinic Optometry, P.c. · NPI 1598876997
Optometrist organization in Rexburg, Idaho. Organization record, active in the CMS NPPES registry since August 31, 2006.
## Identity
- **NPI:** 1598876997 (Entity type: Organization)
- **Enumerated:** August 31, 2006
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **Organization subpart:** No
- **Authorized official:** Dallin Heiner, PRESIDENT
## Practice location
- **Address:** 244 E MAIN ST, Rexburg, ID 83440-2022
- **Phone:** (208) 359-1880 · **Fax:** (208) 359-2025
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** January 31, 2027 (Non-DME Part B, Idaho, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 2 clinicians (Optometry) reassign Medicare billing to this organization (form CMS-855R); 2 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 28, 2007
- **Other identifiers:** Medicare ID-Type Unspecified 1377549 (ID); Other 000010149064 (ID); Other V6499 (ID)
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Source: [NPI Profile](https://npiprofile.com/npi/1598876997) · Data from the CMS NPPES public registry.