THEOBALD FAMILY EYE CARE
NPI 1326133497
Optometrist in Duluth, MN

NPI Status: Active since October 04, 2006

Contact Information

416 N CENTRAL AVE
DULUTH, MN
ZIP 55807
Phone: (218) 624-2095
Fax: (218) 624-9545

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  • Organization
  • Optometrist
  • Accepts Insurance

About THEOBALD FAMILY EYE CARE

This page provides the complete NPI Profile along with additional information for Theobald Family Eye Care, a provider established in Duluth, Minnesota operating as a Optometrist. The healthcare provider is registered in the NPI registry with number 1326133497 assigned on October 2006. The practitioner's primary taxonomy code is 152W00000X. The provider is registered as an organization and their NPI record was last updated 11 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's other name is Theobald Family Eye Care. The authorized official of this NPI record is Dr. Teresa Theobald O.d. (Owner/partner)

NPI
1326133497
Provider Legal Name
THEOBALD FAMILY EYE CARE, LLP
Other Organization Name
THEOBALD FAMILY EYE CARE
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
416 N CENTRAL AVE DULUTH, MN 55807
Location Phone
(218) 624-2095
Location Fax
(218) 624-9545
Mailing Address
3308 W ARROWHEAD RD DULUTH, MN 55811
Mailing Phone
(218) 727-6400
Mailing Fax
(218) 624-9545
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-04-2006
Last Update Date
11-24-2015
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Optometrist

Taxonomy Code
152W00000X
Type
Eye and Vision Services Providers
Taxonomy Description
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists 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. An optometrist has 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. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Medica Individual Choice Bronze $0 Copay PCP Visits - HMO
  • Medica Individual Choice Bronze Share - HMO
  • Medica Individual Choice Expanded Bronze Standard - HMO
  • Medica Individual Choice Gold $0 Copay PCP Visits - HMO
  • Medica Individual Choice Gold Share - HMO
  • Medica Individual Choice Gold Standard - HMO
  • Medica Individual Choice Silver $0 Copay PCP Visits - HMO
  • Medica Individual Choice Silver Share - HMO
  • Medica Individual Choice Silver Standard - HMO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. TERESA THEOBALD O.D.

Authorized Official Title
OWNER/PARTNER
Authorized Official Phone
(218) 624-2095

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
CB6890OTHER (01)MNRAILROAD MEDICARE
1218890001MEDICARE ID-TYPE UNSPECIFIED (04)MNMATERIALS ID NUMBER
=========OTHER (01)MNTIN
6C246THOTHER (01)MNBCBS & FIRST PLAN
402964000MEDICAID (05)MN 
C02455MEDICARE ID-TYPE UNSPECIFIED (04)MN 

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1326133497, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 63. The final step is to find the difference between that total and the next multiple of ten (70 - 63 = 7).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
3
Unchanged
Pos 3
2
Doubled → 4
Pos 4
6
Unchanged
Pos 5
1
Doubled → 2
Pos 6
3
Unchanged
Pos 7
3
Doubled → 6
Pos 8
4
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
7
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 2 → 4 1 → 2 3 → 6 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 3 + 4 + 6 + 2 + 3 + 6 + 4 + 1 + 8 + 24 = 63

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 63 is 70. The difference is the calculated check digit.

70 - 63 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1326133497.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1326133497, enumerated as an "organization" on October 04, 2006.

The provider is located at 416 N CENTRAL AVE DULUTH, MN 55807 and the phone number is (218) 624-2095.

Optometrist with taxonomy code 152W00000X.

The provider might be accepting Accepts: Medica, Railroad Medicare, Medicare, Medicaid and. Please consult your insurance carrier or call the provider to verify.