MAYDEW THIBAULT OPTOMETRY LLC
NPI 1720132715
Optometrist in Medicine Lodge, KS
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
Specialties & Licenses
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)
Maydew Thibault Optometry Llc 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 Maydew Thibault Optometry LLC, which bills Medicare for the services they deliver. 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.
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, KSAccepts 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.
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 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.
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. 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 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.
# Maydew Thibault Optometry Llc · NPI 1720132715
Optometrist organization in Medicine Lodge, Kansas. Organization record, active in the CMS NPPES registry since January 23, 2007.
## Identity
- **NPI:** 1720132715 (Entity type: Organization)
- **Enumerated:** January 23, 2007
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **Organization subpart:** No
- **Authorized official:** Troy Maydew, MEMBER MANAGER
## Practice location
- **Address:** 604 N WALNUT, Medicine Lodge, KS 67104
- **Phone:** (620) 886-3222 · **Fax:** (620) 886-3541
## 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) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 7, 2013
- **Other identifiers:** Medicare NSC 1306600002 (KS); Medicare ID-Type Unspecified 650511; Medicaid 20051988B (KS)
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Source: [NPI Profile](https://npiprofile.com/npi/1720132715) · Data from the CMS NPPES public registry.