Bryce B. Thueson, O.D., PLLC
Optometrist in Rexburg, ID. Organization (NPI-2).
NPI number1457716482
StatusActive
Last updated in NPPESDec 17, 2015
Details
- NPI
- 1457716482
- Entity type
- Organization (NPI-2)
- Legal business name
- Bryce B. Thueson, O.D., PLLC
- Organization subpart
- No
- Enumeration date
- Dec 17, 2015
- Last updated
- Dec 17, 2015
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PART B SUPPLIER - CLINIC/GROUP PRACTICE
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | ODP100014 | ID | Yes |
Other names
- Today'S Eye Care (Doing Business As)
Practice location
76 Professional PlzRexburg, ID 83440-2047
Phone 208-356-4585 · Fax 208-356-4587
Mailing address
76 Professional PlzRexburg, ID 83440-2047
Phone 208-356-4585 · Fax 208-356-4587
Authorized official
Bryce B Thueson
Owner
2083564585
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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