NPI 1245243245

Dan C. Thieme, OD

Practitioner Optometrist Meridian, ID

Practice location

Address: 1648 NW 2nd St, Meridian, ID 83642-2224
Phone: (208) 888-2200
Fax: (208) 888-7623

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence ODP-901 (ID)

Other Optometrist providers in Idaho →

Registry record

NPI: 1245243245
Entity type: Individual
Sex (as registered): Male
NPI issued: 14 Aug 2006
Record last updated: 2 May 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.