Theresa M Dellaert (NPI# 1609256627, PAC ID# 0244549228) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1609256627 |
| PAC ID by PECOS | 0244549228 |
| Professional Enrollment ID | I20151013001445 |
| Full Name | Theresa M Dellaert |
| Organization Legal Name | SHOPKO STORES OPERATING CO LLC |
| Address |
255 John F Kennedy Rd Dubuque IA 52002-5313 |
| Phone Number | 3195835895 |
| Gender | F |
| Medical School | SOUTHERN COLLEGE OF OPTOMETRY |
| Graduation Year | 2015 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 0749292639 |
| Number of Group Practice Members | 138 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 255 John F Kennedy Rd, Dubuque, IA 52002-5313 | 3195835895 | SHOPKO STORES OPERATING CO LLC |
| Organization Legal Name | SHOPKO STORES OPERATING CO LLC |
| Physicians | 40 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Taylor L Douglas | Optometry | Shopko Stores Operating Co LLC | 900 W Memorial Rd, Shopko Optical 123, Houghton, MI 44931-2481 |
| James D Mckell | Optometry | Shopko Stores Operating Co LLC | 955 N Main St, Spanish Fork, UT 84660-1150 |
| Kelly Rd Mccarthy | Optometry | Shopko Stores Operating Co LLC | 510 E Philip Ave, North Platte, NE 69101-5538 |
| Jodi A Bergstrom | Optometry | Shopko Stores Operating Co LLC | 801 W Central Entrance, Duluth, MN 55811-5468 |
| Kellye P Zaporski | Optometry | Shopko Stores Operating Co LLC | 701 S Church St, Watertown, WI 53094-6213 |
| Karl T Jepson | Optometry | Shopko Stores Operating Co LLC | 510 E Phillip Ave, North Platte, NE 69101-5538 |
| Jared W Nelson | Optometry | Shopko Stores Operating Co LLC | 747 S Main St, Brigham City, UT 84302-3359 |
| Margaret A Wolan | Optometry | Shopko Stores Operating Co LLC | 7401 Mineral Point Rd, Madison, WI 53717-1703 |
| Robert P Todd | Optometry | Shopko Stores Operating Co LLC | 211 S 23rd St, Shopko Optical 4662, Plattsmouth, NE 68048-2903 |
| Brooke A Wiener | Optometry | Shopko Stores Operating Co LLC | 5630 St Croix Trail, North Branch, MN 55056 |
| Street Address |
255 JOHN F KENNEDY RD |
| City | DUBUQUE |
| State | IA |
| Zip | 52002-5313 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rhonda R Gotto | Clinical Social Worker | 5900 Sanatoga Rd, 4a, Asbury, IA 52002 | |
| Timothy J Kronlage | Chiropractic | 2055 Holliday Dr, Suite 420, Dubuque, IA 52002-0417 | |
| Joshua E Nagle | Chiropractic | Spine and Sport Chiropractic Center, P.C. | 4840 Asbury Rd, Suite 102, Dubuque, IA 52002-0480 |
| Daniel Clark Johnson | Chiropractic | Spine and Sport Chiropractic Center, P.C. | 4840 Asbury Rd, Suite 102, Dubuque, IA 52002-0480 |
| Megan M Gross | Certified Nurse Midwife (cnm) | 4855 Asbury Rd, Suite 7, Dubuque, IA 52002-0483 | |
| Abigail C Tebbe | Chiropractic | 4855 Asbury Rd, Suite 6, Dubuque, IA 52002-0483 | |
| Kari L Pfab | Nurse Practitioner | Dubuque Internal Medicine PC | 2395 Nw Arterial, Acute Clinic, Dubuque, IA 52002-0496 |
| Peter Harland Lynch Jr. | Chiropractic | 5025 Wolff Rd, 101 Tri States Chiropractic Health and Injury Care, Dubuque, IA 52002-2117 | |
| Kim M. Ehlers | Nurse Practitioner | Medical Associates Clinic PC | 1500 Associates Dr, Dubuque, IA 52002-2201 |
| Jennifer Elizabeth Marks | Physical Medicine and Rehabilitation | Medical Associates Clinic PC | 1500 Associates Dr, Dubuque, IA 52002-2201 |
| Find all physicians in zip 52002 | |||
| City | DUBUQUE |
| Zip Code | 52002 |
| Specialty | OPTOMETRY |
| City + Specialty | DUBUQUE + OPTOMETRY |
Please comment or provide details below to improve the information on Theresa M Dellaert.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.