Martin J Theobald (NPI# 1609842210, PAC ID# 7214954072) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1609842210 |
| PAC ID by PECOS | 7214954072 |
| Professional Enrollment ID | I20100922000701 |
| Full Name | Martin J Theobald |
| Organization Legal Name | THEOBALD FAMILY EYE CARE, LLP |
| Address |
416 N Central Ave Duluth MN 55807-2548 |
| Phone Number | 2186242095 |
| Gender | M |
| Medical School | UNIVERSITY OF HOUSTON - COLLEGE OF OPTOMETRY |
| Graduation Year | 1995 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 4981621745 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 3308 W Arrowhead Rd, Duluth, MN 55811-4107 | 2187276400 | THEOBALD FAMILY EYE CARE, LLP |
| 416 N Central Ave, Duluth, MN 55807-2548 | 2186242095 | THEOBALD FAMILY EYE CARE, LLP |
| Organization Legal Name | THEOBALD FAMILY EYE CARE, LLP |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Whitney Page Lauer | Optometry | Theobald Family Eye Care, LLP | 416 N Central Ave, Duluth, MN 55807-2548 |
| Teresa F Theobald | Optometry | Theobald Family Eye Care, LLP | 416 N Central Ave, Duluth, MN 55807-2548 |
| Street Address |
416 N CENTRAL AVE |
| City | DULUTH |
| State | MN |
| Zip | 55807-2548 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Whitney Page Lauer | Optometry | Theobald Family Eye Care, LLP | 416 N Central Ave, Duluth, MN 55807-2548 |
| Teresa F Theobald | Optometry | Theobald Family Eye Care, LLP | 416 N Central Ave, Duluth, MN 55807-2548 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Hudson M Omweri | Nurse Practitioner | Integrated Wound Care Minnesota Pllc | 7700 Grand Ave, Duluth, MN 55807-2154 |
| Kara L Fausch | Family Medicine | Integrated Wound Care Minnesota Pllc | 7700 Grand Ave, Duluth, MN 55807-2154 |
| Sarah E Blanshan | Nurse Practitioner | Integrated Wound Care Minnesota Pllc | 7700 Grand Ave, Duluth, MN 55807-2154 |
| Stephanie J Garofalo | Nurse Practitioner | Integrated Wound Care Minnesota Pllc | 7700 Grand Ave, Duluth, MN 55807-2154 |
| Kimberly K Grob | Nurse Practitioner | Integrated Wound Care Minnesota Pllc | 7700 Grand Ave, Duluth, MN 55807-2154 |
| Mary E Jaeger | Certified Clinical Nurse Specialist (cns) | Integrated Wound Care Minnesota Pllc | 7700 Grand Ave, Duluth, MN 55807-2154 |
| Kristin M Stevens | Nurse Practitioner | Integrated Wound Care Minnesota Pllc | 7700 Grand Ave, Duluth, MN 55807-2154 |
| Adam Sundberg | Chiropractic | Duluth Chiropractic Clinic Pa | 5807 Grand Ave, Duluth, MN 55807-2459 |
| Joel M Harris | Chiropractic | Duluth Chiropractic Clinic Pa | 5807 Grand Ave, Duluth, MN 55807-2459 |
| Norman D Radtke | Physical Therapy | 215 N Central Ave, Suite 14b, Duluth, MN 55807-2473 | |
| Find all physicians in zip 55807 | |||
| City | DULUTH |
| Zip Code | 55807 |
| Specialty | OPTOMETRY |
| City + Specialty | DULUTH + OPTOMETRY |
Please comment or provide details below to improve the information on Martin J Theobald.
| 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.