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17D2215236 CLIA NUMBER - MAYDEW THIBAULT OPTOMETRY LLC

Laboratory Demographics

CLIA Number: 17D2215236

Facility Name: MAYDEW THIBAULT OPTOMETRY LLC

Facility Address:
216 SOUTH OAK
PRATT, KS
ZIP 67124
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Facility Phone Number: 620 672-5934

Facility Type: Practitioner Other

Certificate Type: Waiver
NPI Number: 1356638662

Taxonomy: 152W00000X - Optometrist
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.

CLIA Record

Field Name Field Value
CLIA Number 17D2215236
LAB Type Practitioner Other
Facility Name MAYDEW THIBAULT OPTOMETRY LLC
Street 216 SOUTH OAK
City PRATT
State KS
ZIP 67124
Phone 620 672-5934
CertificateType 4
CertificateEffectiveDate 3/2/2023
CertificateExpirationDate 3/1/2025
FacilityType Waiver

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This page was last updated on: 4/23/2024