Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Alicia Thibodeaux, OD

Individual provider Optometrist · NPI 1265885990

Alicia Thibodeaux, OD is an Optometry in Gallup, New Mexico. Graduated from University Alabama Birmingham - School of Optometry in 2016, 10 years ago. Practices with Dhhs, Phs, Naihs, Gallup Indian Medical Center, a 181-clinician group and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
10
Trained at
University Alabama Birmingham - School of Optometry
Licensed in
UT
In the registry since
2016
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

516 E Nizhoni Blvd
Gallup, NM 87301-5748
Phone: (505) 722-1000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 9836847-9934 (UT)

Record details

NPI number1265885990
Entity typeIndividual (Type 1)
GenderFemale
Credentials OD
Sole proprietorNo
NPI enumeratedJuly 18, 2016
Last updated in NPPESApril 17, 2017

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolUNIVERSITY ALABAMA BIRMINGHAM - SCHOOL OF OPTOMETRY
Graduated 2016 (10 years in practice)
Group practice Dhhs,Phs,Naihs, Gallup Indian Medical Center — 181 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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