| Dan C. Thieme O.d., P.c | |
|
1648 W 2nd St, Meridian, ID 83642-2224 | |
| (208) 888-2200 | |
| (208) 888-7623 |
| Full Name | Dan C. Thieme O.d., P.c |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 1648 W 2nd St, Meridian, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700899911 | NPI | - | NPPES |
| T1560526754529 | Other | ID | VSP MEMBER NUMBER |
| 000010015459 | Other | ID | BLUE SHIELD |
| 001519300 | Medicaid | ID | |
| V902-2 | Other | ID | BLUE CROSS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 0-901 (Idaho) | Primary |
| Provider Name | Dan C Thieme |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1245243245 PECOS PAC ID: 6406830637 Enrollment ID: I20040625000120 |
| Provider Name | Joshua E Mcadams |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1326302548 PECOS PAC ID: 3779734272 Enrollment ID: I20171129001437 |
| Provider Name | Hayden Alexander Thieme |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1841065257 PECOS PAC ID: 9739538349 Enrollment ID: I20231207003319 |
| Mailing Address | Practice Location Address |
|---|---|
| Dan C. Thieme O.d., P.c 1648 W 2nd St, Meridian, ID 83642-2224 Ph: (208) 888-2200 | Dan C. Thieme O.d., P.c 1648 W 2nd St, Meridian, ID 83642-2224 Ph: (208) 888-2200 |
Renee Rowley, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1715 S Wells Ave Ste 100, Meridian, ID 83642 Phone: 208-898-0304 | |
Dr. Russell Lamar Gray, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 795 W Overland Rd, Meridian, ID 83642 Phone: 208-917-6907 | |
National Vision Inc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1180 N Eagle Rd Ste 101, Meridian, ID 83642 Phone: 208-202-3736 | |
Dr. Nessa Livingston, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 413 Sw 5th Ave, Ste 100, Meridian, ID 83642 Phone: 208-370-2020 Fax: 208-600-6899 | |
Carter Vision Care, Pllc Optometrist Medicare: Medicare Enrolled Practice Location: 1157 E Puffin St, Meridian, ID 83642 Phone: 208-880-6891 | |
Envision Specialty Eyecare And Dry Eye Center Pllc Optometrist Medicare: Medicare Enrolled Practice Location: 1130 E Fairview Ave, Meridian, ID 83642 Phone: 208-859-5125 | |
Eye Pros Optometrist Medicare: Medicare Enrolled Practice Location: 6252 N. Linder Rd., #150, Meridian, ID 83646 Phone: 208-297-7019 |