Thueson, Bryce Byram

Thueson, Bryce Byram is an sole proprietor health care provider with primary practice located at 76 Professional Plz , Rexburg ID 83440-2047. He recently has 7 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Corneal and Contact Management, Eye and Vision Services Providers / Low Vision Rehabilitation, Eye and Vision Services Providers / Pediatrics, Eye and Vision Services Providers / Sports Vision, Eye and Vision Services Providers / Vision Therapy, Eye and Vision Services Providers / Occupational Vision. Eye and Vision Services Providers / Optometrist is his primary health care specialty. Thueson, Bryce Byram can be contacted via phone (208) 356-4585.

Contact Information

Primary practice address
76 Professional Plz Rexburg ID 83440-2047
Fax: (208) 356-4587
Website:

Health care specialties

Profile Details

NPI number 1144260969
LBN Legal business name Thueson, Bryce Byram
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 8th, 2006
Last updated Jul 22nd, 2010 - about 14 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144260969 NPPES
Idaho Other ODP-100014 IDAHO OPTOMETRY LICENSE
Idaho Other 000010146982 IDAHO OPTOMETRY LICENSE
Idaho Other V631-7 IDAHO OPTOMETRY LICENSE
Idaho MEDICAID 807155800 IDAHO OPTOMETRY LICENSE

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