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MAYDEW THIBAULT OPTOMETRY LLC
NPI 1720132715
Optometrist in Medicine Lodge, KS

Active since January 23, 2007
604 N WALNUT, MEDICINE LODGE, KS 67104(620) 886-3222(620) 886-3541 Get Directions Write a Review

NPPES record last updated: May 7, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Maydew Thibault Optometry Llc NPPES

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

MAYDEW THIBAULT OPTOMETRY LLC (NPI 1720132715) is a healthcare organization registered as an optometrist in Medicine Lodge, Kansas and active in the NPI registry since January 2007. The organization lists Troy O Maydew, Member Manager, as its authorized official.

NPPES Registry Identity

NPI1720132715
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameMAYDEW THIBAULT OPTOMETRY LLC
Location Address604 N WALNUTMedicine Lodge, KS 67104
Mailing AddressPo Box 129, 604 N WalnutMedicine Lodge, KS 67104 · (620) 886-3222 · Fax (620) 886-3541
Phone(620) 886-3222
Fax(620) 886-3541
Organization SubpartNo
Authorized OfficialTroy O MaydewMember Manager · (620) 886-3222
Enumeration DateJanuary 23, 2007
Last NPPES UpdateMay 7, 2013
✔ NPI 1720132715 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
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.
604 N WALNUT, Medicine Lodge, KS 67104
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Other Identifiers 3

Medicare NSC1306600002KS
Medicare ID-Type Unspecified650511
Medicaid20051988BKS

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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 ›

Medical Equipment Supplier Medicare DMEPOS 2

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

Maydew Thibault Optometry LLC

DMEPOS supplier · Medicine Lodge, KS
✔

Accepts Medicare assignment

Maydew Thibault Optometry LLC 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)20635319
Medicare Participant SinceJanuary 1, 1999
Supplier Location604 N Walnut StMedicine Lodge, KS 67104
Phone(620) 886-3222
Supplier Specialties
Optometrist

Medicare Product Categories

Prosthetic Lenses: Conventional Eyeglasses
Conventional Eyeglasses
Prosthetic Lenses: Conventional Contact Lenses
Conventional Contact Lenses
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

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 1720132715. It was assigned to this organization in the NPPES registry on January 23, 2007.

Where is Maydew Thibault Optometry LLC located?

Maydew Thibault Optometry LLC is located at 604 N Walnut, Medicine Lodge, KS 67104. The listed phone number is (620) 886-3222.

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 LLC accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

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 May 7, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.