| Maydew Thibault Optometry Llc | |
|
216 S Oak St, Pratt, KS 67124-2721 | |
| (620) 672-5934 | |
| (620) 672-3550 |
| Full Name | Maydew Thibault Optometry Llc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 216 S Oak St, Pratt, Kansas |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740343276 | NPI | - | NPPES |
| 200966630A | Medicaid | KS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
| Provider Name | Seth A Thibault |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1174695100 PECOS PAC ID: 6709853971 Enrollment ID: I20040916000204 |
| Provider Name | Troy O Maydew |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1144396458 PECOS PAC ID: 9234170036 Enrollment ID: I20050602000480 |
| Provider Name | Andrew W Piester |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1689921553 PECOS PAC ID: 9931358538 Enrollment ID: I20120925000443 |
| Mailing Address | Practice Location Address |
|---|---|
| Maydew Thibault Optometry Llc Po Box 1024, 216 S. Oak St., Pratt, KS 67124-1024 Ph: (620) 672-5934 | Maydew Thibault Optometry Llc 216 S Oak St, Pratt, KS 67124-2721 Ph: (620) 672-5934 |
Dr. Troy O Maydew, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 216 S Oak St, Pratt, KS 67124 Phone: 620-672-5934 Fax: 620-672-3550 | |
Dr. Seth Alan Thibault, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 216 S Oak St, Pratt, KS 67124 Phone: 620-672-5934 Fax: 620-672-3550 | |
Dr. Phil Douglas Farmer, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 203 Watson St, Pratt, KS 67124 Phone: 620-672-5934 Fax: 620-672-3550 |