Hayden Alexander Thieme, OD | |
1648 Nw 2nd St, Meridian, ID 83642-2224 | |
(208) 888-2200 | |
Not Available |
Full Name | Hayden Alexander Thieme |
---|---|
Gender | Male |
Speciality | Optometrist |
Location | 1648 Nw 2nd St, Meridian, Idaho |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1841065257 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 100643 (Idaho) | Primary |
Provider Name | Dan C Thieme Od Pc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1700899911 PECOS PAC ID: 3173507399 Enrollment ID: O20040615001816 |
Mailing Address | Practice Location Address |
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Hayden Alexander Thieme, OD 1191 W Laughton Dr, Meridian, ID 83646-6542 Ph: () - | Hayden Alexander Thieme, OD 1648 Nw 2nd St, Meridian, ID 83642-2224 Ph: (208) 888-2200 |
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Dr. Russell Lamar Gray, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 795 W Overland Rd, Meridian, ID 83642 Phone: 208-917-6907 | |
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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 |