Dan C. Thieme O.D., P.C

LBN: Dan C. Thieme O.D., P.C
Dan C. Thieme O.D., P.C is an health care organization with primary practice located at 1648 W 2Nd St , Meridian ID 83642-2224. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Dan C. Thieme O.D., P.C can be contacted via phone (208) 888-2200, or through Thieme, Dan C. via phone (208) 888-2200.

Contact Information

Primary practice address
1648 W 2Nd St Meridian ID 83642-2224
Phone: (208) 888-2200
Fax: (208) 888-7623
Website:
Map and Directions
Authorized official contact:
Name: Thieme, Dan C. Doctor of Optometry (OD)
Phone: (208) 888-2200

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 0-901 Idaho

Profile Details

NPI number 1700899911
LBN Legal business name Dan C. Thieme O.D., P.C
DBA Doing business as
Authorized official Thieme, Dan C. Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 15th, 2006
Last updated Aug 6th, 2010 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1700899911 NPPES
Idaho Other T1560526754529 VSP MEMBER NUMBER
Idaho Other 000010015459 VSP MEMBER NUMBER
Idaho MEDICAID 001519300 VSP MEMBER NUMBER
Idaho Other V902-2 VSP MEMBER NUMBER

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