Individual
DR. DWIGHT THIBODEAUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
300
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
201009924
PRESBYTERIAN HEALTH PLAN
NM
01
—
850448729
LOVELACE HEALTH PLAN
NM
01
—
850448729T
BLUE CROSS BLUE SHIELD #
NM
01
—
UNITED HEALTH CARE
850448729
NM
Enumeration date
08/18/2006
Last updated
02/28/2008
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up