Shane Theobald OD

  • NPI 1760415947
According to our database, the NPI number for Shane Theobald OD is 1760415947 and activated since 17 years ago. Shane Theobald OD is an individual provider who specializes in Optometrist, and the primary practice location is 1717 W. Chandler Blvd, Chandler, AZ 85224. You can also contact Shane Theobald OD via telephone number is (480) 821-7565. Provider NPI information was last updated on 03/04/2014.

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Overview of Shane Theobald OD

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 07/09/2006
  • Last updated: 03/04/2014

Primary Scrop of Practice

  • Taxonomy Code: 152W00000X
  • Specialty: Optometrist
  • License Number: 1521
  • License State: AZ

Provider Mailing Address

  • Address: 25500 N. Norterra Parkway, Bldg B
    Phoenix, AZ 85085
  • Phone: 623-277-1000
  • Fax: 602-906-2789

Provider Practice Location

  • Address: 1717 W. Chandler Blvd
    Chandler, AZ 85224
  • Phone: 480-821-7565
  • Fax: 480-821-4303

Scope of Practice

  • Taxonomy Code: 152W00000X
  • Specialty: Optometrist
  • License Number: 1521
  • License State: AZ
  • Switch: Yes

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Shane Theobald OD?
  • A: The npi number for Shane Theobald OD is 1760415947.
  • Q: What are Shane Theobald OD's specialties?
  • A: Shane Theobald OD's specialties are Optometrist and different specialities.
  • Q: What is the medical license for Shane Theobald OD?
  • A: The medical license number for Shane Theobald OD is 1521 and issued in AZ in USA.
  • Q: Where is Shane Theobald OD practice location?
  • A: Shane Theobald OD is practicing at 1717 W. Chandler Blvd, Chandler, AZ 85224.
  • Q: How to contact Shane Theobald OD?
  • A: You can contact Shane Theobald OD via 480-821-7565.
Medicare Specialty
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