Maydew Thibault Optometry LLC

NPI #1356638662 in Kingman, Kansas

Provider Information

NPI Number: 1356638662
Entity Type: Organization
Organization Name: Maydew Thibault Optometry LLC
Primary Specialty: Optometrist
Enumeration Date: Jul 7, 2011
Last Updated: Aug 1, 2012

Practice Location

Address: 104 WEST C AVE
City: Kingman
State: Kansas
ZIP Code: 67068-1313
Phone: (620) 532-3154

Authorized Official

Name: DR. SETH A THIBAULT, O.D.
Title: DR
Phone: (620) 672-5934

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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