Organization
DAN C. THIEME O.D., P.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAN C. THIEME O.D. (OWNER)
(208) 888-2200
Entity
Organization
Contact information
Practice address
1648 W 2ND ST, MERIDIAN, ID 83642-2224
(208) 888-2200
(208) 888-7623
Mailing address
1648 W 2ND ST, MERIDIAN, ID 83642-2224
(208) 888-2200
(208) 888-7623
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0-901
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010015459
BLUE SHIELD
ID
05
—
001519300
—
ID
01
—
T1560526754529
VSP MEMBER NUMBER
ID
01
—
V902-2
BLUE CROSS
ID
Enumeration date
08/15/2006
Last updated
08/06/2010
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us