Smith, Golden Thane
Smith, Golden Thane is an sole proprietor health care provider with primary practice located at 500 S Utah Ave , Idaho Falls ID 83402-3305. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Smith, Golden Thane can be contacted via phone (208) 528-8643.Contact Information
Primary practice address
500 S Utah Ave
Idaho Falls ID 83402-3305
Phone: (208) 528-8643
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 1040 | Nevada |
| Eye and Vision Services Providers / Optometrist | 152W00000X | 11319935-9934 | Utah |
| Eye and Vision Services Providers / Optometrist | 152W00000X | ODP-992 | Idaho |
Profile Details
| NPI number | 1154432938 |
|---|---|
| LBN Legal business name | Smith, Golden Thane |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 31st, 2006 |
| Last updated | Sep 27th, 2019 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Popular Providers
-
Nave, Jerry Blair
2550 S 25Th E , Idaho Falls ID 83404 -
Porter, Lisa L.
1480 E Lincoln Rd Ste B , Idaho Falls ID 83401-2128 -
Kohler, Nathan G
320 S Woodruff Ave , Idaho Falls ID 83401-4329 -
Adamson, Alan Paul
2300 E 17Th St Suite 1157, Idaho Falls ID 83404-6504 -
Lattimore, Gary J
501 S Woodruff Ave , Idaho Falls ID 83401-5200 -
Birch, Todd F
3351 Merlin Dr , Idaho Falls ID 83404-7405 -
Birch, Jared Edgar
1689 Pancheri Dr , Idaho Falls ID 83402-3041 -
Dayton, Drew C
2100 Providence Way , Idaho Falls ID 83404-4951