KINGMAN EYE CARE
NPI 1356638662
Optometrist in Kingman, KS
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
Specialties & Licenses
Other Names 1
Other Identifiers 3
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kingman Eye Care is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by February 28, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
4Medicare enrollment records show 4 clinicians reassign Medicare billing to Kingman Eye Care, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (4)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, KSMedical 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 LLCAccepts 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.
Medicare Product Categories
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.
Is Maydew Thibault Optometry LLC enrolled in Medicare?
Yes. Maydew Thibault Optometry LLC is registered in the Medicare PECOS enrollment system.
When is Maydew Thibault Optometry LLC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Kansas, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Maydew Thibault Optometry LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians, all in Optometry, reassign their Medicare billing to Maydew Thibault Optometry LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Ambetter Health, Ambetter Health of Delaware, Ambetter from Sunflower Health Plan, Ambetter of Oklahoma and 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.
# Kingman Eye Care · NPI 1356638662
Optometrist organization in Kingman, Kansas. Organization record, active in the CMS NPPES registry since July 7, 2011.
## Identity
- **NPI:** 1356638662 (Entity type: Organization)
- **Enumerated:** July 7, 2011
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **Legal business name:** Maydew Thibault Optometry Llc
- **Organization subpart:** No
- **Authorized official:** Seth Thibault, DR
## Practice location
- **Address:** 104 WEST C AVE, Kingman, KS 67068-1313
- **Phone:** (620) 532-3154 · **Fax:** (620) 532-5662
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** February 28, 2027 (Non-DME Part B, Kansas, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 4 clinicians (Optometry) reassign Medicare billing to this organization (form CMS-855R); 1 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 1, 2012
- **Other identifiers:** Medicaid 200732580A (KS); Medicare NSC 1306600003 (KS); Medicare PIN 650512 (KS)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1356638662) · Data from the CMS NPPES public registry.