Organization
THEOBALD FAMILY EYE CARE, LLP
Active
Other names
Theobald Family Eye Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TERESA THEOBALD (OWNER/PARTNER)
(218) 727-6400
Entity
Organization
Contact information
Practice address
3308 W ARROWHEAD RD, DULUTH, MN 55811-4000
(218) 727-6400
(218) 727-3044
Mailing address
3308 W ARROWHEAD RD, DULUTH, MN 55811-4000
(218) 727-6400
(218) 727-3044
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6C246TH
BCBS & FIRST PLAN
MN
01
—
CB6890
RAILROAD MEDICARE
MN
Enumeration date
10/04/2006
Last updated
08/22/2020
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