Organization
JACQUELINE THEIS, OD, PLLC
Active
Other names
Virginia Neuro-Optometry
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUELINE THEIS OD (OWNER)
(415) 404-0557
Entity
Organization
Contact information
Practice address
3721 WESTERRE PKWY STE B, RICHMOND, VA 23233-1332
(804) 387-2902
Mailing address
10124 W BROAD ST STE E, GLEN ALLEN, VA 23060-3330
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
152WP0200X
Pediatric Optometrist
—
—
152WS0006X
Sports Vision Optometrist
—
—
225X00000X
Occupational Therapist
—
—
Other
Enumeration date
07/24/2020
Last updated
11/25/2025
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