THEOBALD FAMILY EYE CARE, LLP (NPI# 1326133497) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326133497 |
| Entity Type | Organization |
| Organization Name | THEOBALD FAMILY EYE CARE, LLP |
| Other Organization Name | THEOBALD FAMILY EYE CARE |
| Practice Address |
416 N Central Ave Duluth MN 55807-2548 |
| Mailing Address |
3308 W Arrowhead Rd Duluth MN 55811-4000 |
| Practice Telephone | 2186242095 |
| Practice Fax Number | 2186249545 |
| Mailing Telephone | 2187276400 |
| Mailing Fax Number | 2184644277 |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2015-11-24 |
| Authorized Official Name | DR. TERESA THEOBALD (OWNER/PARTNER) |
| Authorized Official Telephone | 2186242095 |
| Authorized Official Credential | O.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | RAILROAD MEDICARE | CB6890 | 01 |
| MN | BCBS & FIRST PLAN | 6C246TH | 01 |
| MN | 402964000 | 05 |
| Other Name | Type Code |
|---|---|
| Theobald Family Eye Care | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720173909 | Theobald Family Eye Care, LLP | Optometrist | 3308 W Arrowhead Rd, Duluth, MN 55811-4000 | 2006-10-04 |
| Street Address |
416 N CENTRAL AVE |
| City | DULUTH |
| State | MN |
| Zip Code | 55807-2548 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568918126 | Jaime Lynn Mallory | Counselor | 4000 W 9th St., Duluth, MN 55807 | 2016-09-01 |
| 1568817138 | Fathers Rise Together | Community/Behavioral Health | 319 N 22nd Ave West, Duluth, MN 55807 | 2016-05-02 |
| 1558660357 | Melissa June Huray | Counselor | 326 North Central Avenue, Duluth, MN 55807 | 2011-03-18 |
| 1376757682 | Chiropractic Health Center P A | Chiropractor | 215 North Central Ave, Duluth, MN 55807 | 2007-05-09 |
| 1639235914 | Mark Andrew Nelson Albee | Social Worker | 4214 Grand Avenue, Duluth Clinic-west, Duluth, MN 55807 | 2006-12-29 |
| 1851457758 | Northwood Children's Services, Inc. | Counselor | 4000 W 9th St, Duluth, MN 55807 | 2006-12-28 |
| 1679934012 | Rebecca Ann Peterson | Nurse Practitioner | 4325 Grand Ave, Duluth, MN 55807 | 2016-03-13 |
| 1326134529 | Jane Patricia Rudd | Family Medicine | 4212 Grand Ave, Duluth, MN 55807 | 2006-10-05 |
| 1548290257 | Kirsten I Bich | Family Medicine | 4212 Grand Ave, Essentia Health West Duluth Clinic, Duluth, MN 55807 | 2006-07-05 |
| 1033140660 | Wendell R Bonner | Family Medicine | 4212 Grand Ave, Duluth, MN 55807 | 2006-07-05 |
| Find all providers in zip 55807 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | 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. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831703289 | First Class Eye Care, LLC | Optometrist | 2730 Peachtree Industrial Blvd Ste 206, Duluth, GA 30097-8628 | 2020-09-03 |
| 1073172334 | National Vision Inc | Optometrist | 5115 Burning Tree Rd Ste 311, Duluth, MN 55811-1876 | 2019-06-11 |
| 1710467857 | Envision Optics LLC | Optometrist | 1943 Pleasant Hill Rd, Duluth, GA 30096 | 2018-08-17 |
| 1396263026 | Lindsay Jordan Armagon | Optometrist | 2435 Commerce Ave Bldg 2200, Duluth, GA 30096-4980 | 2017-09-01 |
| 1669909701 | Vuon Lay Nim | Optometrist | 3940 Buford Hwy Ste A104, Duluth, GA 30096-8212 | 2017-05-19 |
| 1922457183 | Zen Eye Care Pllc | Optometrist | 2106 London Road, Duluth, MN 55812 | 2016-06-08 |
| 1215312459 | Vision Pro II, Inc | Optometrist | 4920 Grand Ave, Duluth, MN 55807-2604 | 2015-07-29 |
| 1265873509 | Keping Xu | Optometrist | 2205 Pleasant Hill Rd Ste 125, Duluth, GA 30096-2308 | 2013-07-15 |
| 1275819849 | Marina L. Gurvich | Optometrist | 6555 Sugarloaf Pkwy Ste 305, Duluth, GA 30097-4929 | 2011-10-27 |
| 1619274941 | Bethel Eyecare | Optometrist | 2148 Duluth Hwy Ste 102, Duluth, GA 30097-4504 | 2011-02-23 |
| Find all providers in DULUTH | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.