| Bryce B. Thueson, O.d., Pllc | |
| 
					76 Professional Plz, Rexburg, ID 83440-2047  | |
| (208) 356-4585 | |
| (208) 356-4587 | 
| Full Name | Bryce B. Thueson, O.d., Pllc | 
|---|---|
| Type | Facility | 
| Speciality | Optometrist | 
| Location | 76 Professional Plz, Rexburg, Idaho | 
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1457716482 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 152W00000X | Optometrist | ODP100014 (Idaho) | Primary | 
| Provider Name | Bryce B Thueson | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1144260969 PECOS PAC ID: 6002947629 Enrollment ID: I20100625000794  | 
| Provider Name | Kreed Jordan Bowman | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1093168767 PECOS PAC ID: 4284912155 Enrollment ID: I20161027000613  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Bryce B. Thueson, O.d., Pllc 76 Professional Plz, Rexburg, ID 83440-2047 Ph: (208) 356-4585  | Bryce B. Thueson, O.d., Pllc 76 Professional Plz, Rexburg, ID 83440-2047 Ph: (208) 356-4585  | 
Dr. Kreed Bowman, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 76 Professional Plz, Rexburg, ID 83440 Phone: 208-356-4585 Fax: 208-356-4587  | |
Dr. Bryce Byram Thueson, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 76 Professional Plz, Rexburg, ID 83440 Phone: 208-356-4585 Fax: 208-356-4587  | |
Dallas Stevens,  Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1232 Pleasantview, Rexburg, ID 83440 Phone: 208-709-7314  | |
Canyon View Eyecare Pllc Optometrist Medicare: Medicare Enrolled Practice Location: 74 E 1st S, Rexburg, ID 83440 Phone: 208-356-6911  | |
Dr. Nathan Cody Mortensen, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 49 E 1st S, Rexburg, ID 83440 Phone: 208-356-4444  | |
Dr. Douglass Eugene Hanson, OPTOMETRIST Optometrist Medicare: Medicare Enrolled Practice Location: 24 E Main St, Rexburg, ID 83440 Phone: 208-356-0881 Fax: 208-359-9680  | |
Dr. Dallin Heiner, O.D. Optometrist Medicare: May Accept Medicare Assignments Practice Location: 244 E Main St, Rexburg, ID 83440 Phone: 208-359-1880 Fax: 208-359-2025  |