| Theobald Family Eye Care | |
|
416 N Central Ave, Duluth, MN 55807-2548 | |
| (218) 624-2095 | |
| (218) 624-9545 |
| Full Name | Theobald Family Eye Care |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 416 N Central Ave, Duluth, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326133497 | NPI | - | NPPES |
| CB6890 | Other | MN | RAILROAD MEDICARE |
| 6C246TH | Other | MN | BCBS & FIRST PLAN |
| 402964000 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
| Provider Name | Martin J Theobald |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1609842210 PECOS PAC ID: 7214954072 Enrollment ID: I20100922000701 |
| Provider Name | Teresa F Theobald |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1902872518 PECOS PAC ID: 9032136890 Enrollment ID: I20100922000753 |
| Provider Name | Staci Lynn Collison |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1588949648 PECOS PAC ID: 6002036589 Enrollment ID: I20141003002230 |
| Provider Name | Whitney Page Lauer |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1285164079 PECOS PAC ID: 5294004750 Enrollment ID: I20170627002203 |
| Mailing Address | Practice Location Address |
|---|---|
| Theobald Family Eye Care 3308 W Arrowhead Rd, Duluth, MN 55811-4000 Ph: (218) 727-6400 | Theobald Family Eye Care 416 N Central Ave, Duluth, MN 55807-2548 Ph: (218) 624-2095 |
Dr. Melissa Marie Kuntz, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2510 Maple Grove Rd, Duluth, MN 55811 Phone: 218-722-2712 Fax: 218-722-2712 | |
Blink Optometry, Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 310 E Superior St Ste 150, Duluth, MN 55802 Phone: 651-587-9355 | |
Janelle Stephanie Strom, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 801 W Central Entrance, Duluth, MN 55811 Phone: 218-727-7163 | |
National Vision Inc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 5115 Burning Tree Rd Ste 311, Duluth, MN 55811 Phone: 218-481-6027 Fax: 218-722-0286 | |
Frank C. Munns O.d. L.t.d. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1600 Miller Trunk Hwy, Duluth, MN 55811 Phone: 218-725-0204 Fax: 218-722-8873 | |
Erin Christine Pangerl, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1600 Miller Trunk Hwy, Duluth, MN 55811 Phone: 218-727-2340 | |
Dr. Frank Clark Munns, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 1600 Miller Trunk Hwy, Duluth, MN 55811 Phone: 218-725-0204 |