MICHAEL GREEN THAIN


Address: 6895 So State, Salt Lake City, UT 84047
Phone: 8012558525

MICHAEL GREEN THAIN (NPI# 1356415434) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1356415434
Entity Type Individual
Full Name MICHAEL GREEN THAIN
Credential OD
Practice Address 6895 So State
Salt Lake City
UT 84047
Mailing Address 12964 Hunter Hollow Way
Draper
UT 84020
Practice Telephone 8012558525
Mailing Telephone 8015720594
Enumeration Date 2006-11-20
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 152W00000X Optometrist 1089949934 UT Eye and Vision Services Providers

Other Provider Identifier

State Issuer Identifier Type Code
UT S29660765001 05

Office Location

Street Address 6895 SO STATE
City SALT LAKE CITY
State UT
Zip Code 84047

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1750879987 Rosemarie Elaine Brinig Counselor 75 E. Ft. Union, C118, Midvale, UT 84047 2018-04-24
1861921140 Olivia Devenport Behavior Technician 7434 S State Street, Midvale, UT 84047 2017-06-08
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1710436316 Michael Naanes Physical Therapist 900 East 6900 South, Suite 100, Midvale, UT 84047 2016-09-25
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Taxonomy Information

Taxonomy Code 152W00000X
Grouping Eye and Vision Services Providers
Classification Optometrist

Taxonomy Definition

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.
Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1013532894 Meagan Miles Optometrist 1752 W 400 N Apt B, Salt Lake City, UT 84116-3546 2020-06-08
1811558554 Ryan Garber Optometrist 500 Foothill Dr Salt Lake City Ut 84148, Salt Lake City, UT 84148-0001 2019-06-24
1346703766 National Vision Inc Optometrist 1140 E Brickyard Rd Ste 23, Salt Lake City, UT 84106-2557 2019-04-11
1831664580 Rocky Mountain Optical and Eye Care LLC Optometrist 4400 S 700 E Ste 160, Salt Lake City, UT 84107-3053 2018-10-09
1891216909 Stephen Nicholas Lundquist Optometrist 801 S 800 E, Salt Lake City, UT 84102-3515 2017-06-28
1831546118 Jeffrey Lynn Simmons Optometrist 1919 E Brighton Ridge Dr, Salt Lake City, UT 84121-4886 2016-05-17
1679953400 Wendy Nguyen Optometrist 500 Foothill Drive Salt Lake City, Salt Lake City, UT 84148-0001 2015-06-07
1780063784 Kaeleen Franson Optometrist 250 S 300 E, Salt Lake City, UT 84111-2502 2015-05-22
1942437058 Michael S Peterson, Od, PC Optometrist 1553 Gregson Ave, Salt Lake City, UT 84106-3419 2009-06-16
1427241843 Paul C Bruderer Od, PC Optometrist 339 E 3900 S, Suite 150, Salt Lake City, UT 84107-1677 2007-08-20
Find all providers in SALT LAKE CITY

Competitor

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City SALT LAKE CITY
Zip Code 84047

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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