Theobald Family Eye Care, LLP
Optometrist in Duluth, MN. Organization (NPI-2).
NPI number1720173909
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1720173909
- Entity type
- Organization (NPI-2)
- Legal business name
- Theobald Family Eye Care, LLP
- Organization subpart
- No
- Enumeration date
- Oct 4, 2006
- Last updated
- Aug 22, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | – | – | Yes |
Other names
- Theobald Family Eye Care (Other Name)
Practice location
3308 W Arrowhead RdDuluth, MN 55811-4000
Phone 218-727-6400 · Fax 218-727-3044
Mailing address
3308 W Arrowhead RdDuluth, MN 55811-4000
Phone 218-727-6400 · Fax 218-727-3044
Authorized official
Teresa Theobald
Owner/Partner
2187276400
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