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BRYCE B. THUESON, O.D., PLLC

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Company Details

Name: BRYCE B. THUESON, O.D., PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 18 Sep 2015 (10 years ago)
Financial Date End: 30 Sep 2025
Entity Number: 474748
Place of Formation: IDAHO
File Number: 474748
ZIP code: 83440
County: Madison County
Principal Address: 76 PROFESSIONAL PLAZA REXBURG, ID 83440
Mailing Address: BRYCE THUESON 76 PROFESSIONAL PLZ REXBURG, ID 83440-2047

Agent

Name Role Address
BRYCE B THUESON Agent 76 PROFESSIONAL PLAZA, REXBURG, ID 83440

Manager

Name Role Address Appointed On
BRYCE B THUESON Manager 76 PROFESSIONAL PLZ, REXBURG, ID 83440 2021-09-22
BRYCE B THUESON OD Manager 76 PROFESSIONAL PLZ, REXBURG, ID 83440 2020-08-07

National Provider Identifier

NPI Number:
1457716482

Authorized Person:

Name:
DR. BRYCE B THUESON
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
152W00000X - Optometrist
Is Primary:
Yes

Contacts:

Fax:
2083564587

Filing

Filing Name Filing Number Filing date
Annual Report 0005900417 2024-09-13
Annual Report 0005435629 2023-10-09
Annual Report 0004919762 2022-09-19
Annual Report 0004425580 2021-09-22
Annual Report 0003963300 2020-08-07

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Date of last update: 12 May 2025

Sources: Idaho Secretary of State