KINGMAN EYE CARE
NPI 1356638662
Optometrist in Kingman, KS

Q: What is Maydew Thibault Optometry LLC's NPI number?

The NPI number for Maydew Thibault Optometry LLC is 1356638662. It was assigned to this organization in the NPPES registry on July 7, 2011. The provider is also known as Kingman Eye Care.

Q: What is Maydew Thibault Optometry LLC's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Active since July 07, 2011CLIA 17D2215236 · Waiver

104 WEST C AVE, KINGMAN, KS 67068(620) 532-3154(620) 532-5662 Get Directions Write a Review

NPPES record last updated: August 1, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Kingman Eye Care NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KINGMAN EYE CARE (NPI 1356638662) is a healthcare organization registered as an optometrist in Kingman, Kansas and active in the NPI registry since July 2011. The organization holds a CLIA Waiver certificate valid through March 1, 2027 and lists Seth A Thibault, Dr, as its authorized official.

NPPES Registry Identity

NPI1356638662

Entity TypeOrganization

Primary Taxonomy152W00000X

Legal Business NameMAYDEW THIBAULT OPTOMETRY LLC

Location Address104 WEST C AVEKingman, KS 67068-1313

Mailing Address104 West C AveKingman, KS 67068-1313 · (620) 532-3154 · Fax (620) 532-5662

Phone(620) 532-3154

Fax(620) 532-5662

Organization SubpartNo

Authorized OfficialSeth A ThibaultDr · (620) 672-5934

Enumeration DateJuly 7, 2011

Last NPPES UpdateAugust 1, 2012

✔ NPI 1356638662 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

Licenses✔ Licensed in KS · 1696✔ Licensed in KS · 1017-3

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.

104 WEST C AVE, Kingman, KS 67068

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Other Names 1

Other NameKingman Eye Care

Other Identifiers 3

Medicaid200732580AKS

Medicare NSC1306600003KS

Medicare PIN650512KS

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Kansas, Inc..Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 17D2215236

Maydew Thibault Optometry LLC · Pratt, KS

Active · expires Mar 1, 2027

CLIA Number17D2215236

Laboratory TypePractitioner Other

Certificate Effective DateMarch 2, 2025

Certificate Expiration DateMarch 1, 2027

Laboratory DirectorSeth A. Thibault

Laboratory Phone(620) 672-5934

Laboratory LocationMaydew Thibault Optometry LLC216 South Oak, Pratt, KS 67124

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Medical Equipment Supplier Medicare DMEPOS

Medicare supplier enrollment and the product categories Maydew Thibault Optometry carries, from the Medicare DMEPOS supplier directory.

Maydew Thibault Optometry

DMEPOS supplier · Kingman, KSOperated by Maydew Thibault Optometry LLC

✔

Accepts Medicare assignment

Maydew Thibault Optometry agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20635313

Medicare Participant SinceJanuary 1, 1999

Supplier Location104 West C AveKingman, KS 67068

Phone(620) 532-3154

Supplier Specialties

Optometrist

Medicare Product Categories

Prosthetic Lenses: Conventional Eyeglasses

Conventional Eyeglasses

Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ANDREW W PIESTER O.D.

Optometrist

104 WEST C AVE
KINGMAN, KS 67068

Kingman County (620) 532-3154

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Maydew Thibault Optometry LLC's NPI number?

The NPI number for Maydew Thibault Optometry LLC is 1356638662. It was assigned to this organization in the NPPES registry on July 7, 2011. The provider is also known as Kingman Eye Care.

Where is Maydew Thibault Optometry LLC located?

Maydew Thibault Optometry LLC is located at 104 West C Ave, Kingman, KS 67068. The listed phone number is (620) 532-3154.

What is Maydew Thibault Optometry LLC's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Does Maydew Thibault Optometry LLC accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Maydew Thibault Optometry accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

Does Maydew Thibault Optometry LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 17D2215236) is associated with this NPI, valid through March 1, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Maydew Thibault Optometry LLC accept?

Health plans from Blue Cross and Blue Shield of Kansas, Inc. list Maydew Thibault Optometry LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Maydew Thibault Optometry LLC was last updated on August 1, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.