Provider Type Icon

THEOBALD FAMILY EYE CARE LLP NPI 1326133497


NPI Information

NPI: 1326133497
Provider Name: THEOBALD FAMILY EYE CARE, LLP

Other Name: THEOBALD FAMILY EYE CARE

Classification: Optometrist - 152W00000X
Entity Type: Organization
Address:
416 N CENTRAL AVE
DULUTH, MN
ZIP 55807
Phone: (218) 624-2095
Get Directions

THEOBALD FAMILY EYE CARE, LLP is an optometrist in Duluth, MN. The provider is 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. THEOBALD FAMILY EYE CARE, LLP NPI is 1326133497. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Theobald Family Eye Care.

The provider's business location address is:

416 N CENTRAL AVE
DULUTH, MN
ZIP 55807-548
Phone: (218) 624-2095
Fax: (218) 624-9545

The provider's authorized official is Teresa Theobald .
The authorized official title is Owner/partner and has the following contact phone number (218) 624-2095.

The enumeration date for this NPI number is 10/4/2006 and was last updated on 11/24/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1152W00000XOptometristYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1CB6890OTHERMINNESOTARAILROAD MEDICARE
21218890001MEDICARE ID-TYPE UNSPECIFIEDMINNESOTAMATERIALS ID NUMBER
3=========OTHERMINNESOTATIN
46C246THOTHERMINNESOTABCBS & FIRST PLAN
5402964000MEDICAIDMINNESOTA
6C02455MEDICARE ID-TYPE UNSPECIFIEDMINNESOTA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.