Dwight Thibodeaux - Optometrist in Espanola, NM

Dwight Thibodeaux is a Optometrist based in Espanola, New Mexico. Dwight Thibodeaux is licensed to practice in New Mexico (license number NM300) and their current practice location is 1610 N Riverside Dr, Espanola, New Mexico. It can be reached at their office (for appointments etc.) via phone at (505) 747-0433.

NPI number for Dwight Thibodeaux is 1598029308 and their current mailing address is 499 Camino Pinones, Santa Fe, New Mexico. Dwight Thibodeaux does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1598029308.

Contact Information

Dwight Thibodeaux
1610 N Riverside Dr,
Espanola, NM 87532-8063
(505) 747-0433
Not Available



Healthcare Provider's Profile

Full NameDwight Thibodeaux
TypeFacility
SpecialityOptometrist
Location1610 N Riverside Dr, Espanola, New Mexico
Accepts Medicare AssignmentsDoes not participate in Medicare Program. The facility may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1598029308
  • Provider Enumeration Date: 06/26/2012
  • Last Update Date: 10/25/2012

Medical Identifiers

Medical identifiers for Dwight Thibodeaux such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1598029308NPI-NPPES
1962516039MedicaidNM

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist NM300 (New Mexico)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dwight Thibodeaux is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dwight Thibodeaux
499 Camino Pinones,
Santa Fe, NM 87505-7523

Ph: (505) 984-8989
Dwight Thibodeaux
1610 N Riverside Dr,
Espanola, NM 87532-8063

Ph: (505) 747-0433

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› Verified 1 days ago


Optometrist in Espanola, NM

Dr. Michael Meneakis, OD
Optometrist
Medicare: May Accept Medicare Assignments
Practice Location: 612 N Paseo De Onate, Ste C, Espanola, NM 87532
Phone: 505-753-7355    Fax: 505-753-7533
Drs Mccloskey And Meneakis
Optometrist
Medicare: Not Enrolled in Medicare
Practice Location: 612 N Paseo De Onate, Espanola, NM 87532
Phone: 505-753-7355    Fax: 505-753-7533
Dr. Yvonne Ann Mccloskey, OD OPTOMETRY
Optometrist
Medicare: Medicare Enrolled
Practice Location: 612 N Paseo De Onate, Espanola, NM 87532
Phone: 505-753-7355    Fax: 505-753-7533
Eye Associates Of New Mexico
Optometrist
Medicare: Not Enrolled in Medicare
Practice Location: 412 Paseo De Onate, Suite #2, Espanola, NM 87532
Phone: 505-753-7868    Fax: 505-753-6459
Optometrics Pc
Optometrist
Medicare: Not Enrolled in Medicare
Practice Location: 612 N Paseo De Onate, Espanola, NM 87532
Phone: 505-753-7355    Fax: 505-753-7533

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