Shane Theobald is a Chandler, Arizona based male Optometrist with 18 years of experience in Optometry. He completed his graduation from Southern College Of Optometry in 2006. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Shane Theobald is 1521 for Optometry in Arizona. Shane Theobald examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. He completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. He is a eye health care professional who is state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Complete Profile:
Shane Theobald speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Optometry
Credentials:
OD
Experience:
18+ years
Medical School Attended:
Southern College Of Optometry
Graduation Year:
2006
Gender:
Male
Accepts Medicare Assignment:
Yes
Practice Address:
1717 W. Chandler Blvd, Chandler, Arizona, 85224
Phone:
480-821-7565
Fax:
480-821-4303
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
6103839485
Enrollment ID:
I20060803000481
NPI Number:
1760415947
NPI Enumeration Date:
09 Jul, 2006
NPI Last Update On:
04 Mar, 2014
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Shane Theobald are as mentioned below.
License Number
Specialization
State
Status
1521
Optometry
Arizona
Primary
Group Practice:
Group practices are run by a group of physicians who share their premises and other resources. Following list states all the group name
with which Shane Theobald has association with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Cigna Healthcare Of Arizona Inc (1456263573)
153
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
25500 N. Norterra Parkway, Bldg B, Phoenix, Arizona
Zip:
85085
Phone Number:
623-277-1000
Fax Number:
602-906-2789
Patients can reach Shane Theobald at 1717 W. Chandler Blvd, Chandler, Arizona or can call to book an appointment on 480-821-7565. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.
Comments/ Reviews:
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