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NPI 1457716482

OrganizationActive

Bryce B. Thueson, O.D., PLLC

NPI 1457716482 · Optometrist · Rexburg, ID

Provider details

NPI number: 1457716482
Entity type: Organization
Primary specialty: OptometristEye and Vision Services Providers
Authorized official: Bryce Thueson, Owner
License: ODP100014 (ID)

Practice location

76 Professional Plz

Rexburg, ID 83440-2047

Phone: (208) 356-4585

Fax: (208) 356-4587

More ID providers

Mailing address

76 Professional Plz

Rexburg, ID 83440-2047

Registry dates

Enumerated: 2015-12-17
Last updated: 2015-12-17

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Bryce B. Thueson, O.D., PLLC — NPI 1457716482, Rexburg, ID | NPI Central