| Dr Golden Thane Smith, OD | |
|
500 S Utah Ave, Idaho Falls, ID 83402-3305 | |
| (208) 528-8643 | |
| Not Available |
| Full Name | Dr Golden Thane Smith |
|---|---|
| Gender | Male |
| Speciality | Optometrist |
| Location | 500 S Utah Ave, Idaho Falls, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154432938 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 1040 (Nevada) | Secondary |
| 152W00000X | Optometrist | 11319935-9934 (Utah) | Secondary |
| 152W00000X | Optometrist | ODP-992 (Idaho) | Primary |
| Provider Name | Standard Optical Co |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1093816548 PECOS PAC ID: 8224921390 Enrollment ID: O20040203000787 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Golden Thane Smith, OD 500 S Utah Ave, Idaho Falls, ID 83402-3305 Ph: (208) 528-8643 | Dr Golden Thane Smith, OD 500 S Utah Ave, Idaho Falls, ID 83402-3305 Ph: (208) 528-8643 |
Parkway Eyecare, P.c. Optometrist Medicare: Medicare Enrolled Practice Location: 320 S Woodruff Ave, Idaho Falls, ID 83401 Phone: 208-524-4552 Fax: 208-524-4559 | |
Dr. Leon C Peterson, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 501 S Woodruff Ave, Idaho Falls, ID 83401 Phone: 208-522-6271 Fax: 208-522-7217 | |
Bonneville Vision, Pllc Optometrist Medicare: Medicare Enrolled Practice Location: 838 S Woodruff Ave, Idaho Falls, ID 83401 Phone: 208-523-3937 | |
Jones Eye Care, Pllc Optometrist Medicare: Medicare Enrolled Practice Location: 2300 E 17th St Spc 157, Idaho Falls, ID 83404 Phone: 208-552-3355 Fax: 208-552-6120 | |
Westside Eyecare Inc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1689 Pancheri Dr, Idaho Falls, ID 83402 Phone: 208-529-4333 Fax: 208-529-4366 | |
Associated Westside Optometric Clinic P.a. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1991 W Broadway St Ste 2, Idaho Falls, ID 83402 Phone: 208-529-4333 |