DAN C THIEME OD PC NPI 1780790154

NPI Information

  • NPI: 1780790154
  • Provider Name: DAN C THIEME OD PC
  • Classification: Optometrist - 152W00000X
  • Entity Type: Organization
  • Doing Business As: PAYETTE FAMILY EYECARE
  • Address: 827 CENTER AVE
    PAYETTE, ID
    ZIP 83661
  • Phone: (208) 642-4434

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NPI Details

DAN C THIEME OD PC is an optometrist in Payette, ID. The provider is doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. DAN C THIEME OD PC NPI is 1780790154. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Payette Family Eyecare.

The provider's business location address is:

827 CENTER AVE
PAYETTE, ID
ZIP 83661-535
Phone: (208) 642-4434
Fax: (208) 642-1433

The provider's authorized official is Dan C. Thieme .
The authorized official title is Owner and has the following contact phone number (208) 642-4434.

The enumeration date for this NPI number is 8/21/2006 and was last updated on 12/11/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1152W00000XOptometrist0-901IDAHOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1001519301MEDICAIDIDAHO
2V6002OTHERIDAHOBLUE CROSS
34992280001MEDICARE NSCIDAHO
4000010015223OTHERIDAHOBLUE SHIELD
51376990MEDICARE PIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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