Whalio Doctors

NPI 1154432938

Golden Thane Smith, OD

Practitioner Optometrist Idaho Falls, ID

Practice location

Address
500 S Utah Ave, Idaho Falls, ID 83402-3305
Phone
(208) 528-8643

Registered specialties (3)

Optometrist Primary
Eye and Vision Services Providers Taxonomy 152W00000X Licence ODP-992 (ID)
Optometrist
Eye and Vision Services Providers Taxonomy 152W00000X Licence 1040 (NV)
Optometrist
Eye and Vision Services Providers Taxonomy 152W00000X Licence 11319935-9934 (UT)

Registry record

NPI
1154432938
Entity type
Individual
Sex (as registered)
Male
NPI issued
31 Aug 2006
Record last updated
27 Sep 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.