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TERESA F THEOBALD O.D.
NPI 1902872518
Optometrist in Duluth, MN

Active since February 23, 2006PECOS EnrolledAccepts Medicare Assignment
3308 W ARROWHEAD RD, DULUTH, MN 55811(218) 727-6400(218) 464-4277 Get Directions Write a Review

NPPES record last updated: November 24, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Teresa F Theobald O.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TERESA F THEOBALD O.D. (NPI 1902872518) is an individual optometrist in Duluth, Minnesota, licensed in Minnesota (2532) and active in the NPI registry since February 2006. She is enrolled in Medicare PECOS and is a graduate of University Of Houston - College Of Optometry (1995).

NPPES Registry Identity

NPI1902872518
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameTERESA F THEOBALDCredential: O.D.
Location Address3308 W ARROWHEAD RDDuluth, MN 55811-4000
Mailing Address3308 W Arrowhead RdDuluth, MN 55811-4000 · (218) 727-6400 · Fax (218) 464-4277
Phone(218) 727-6400
Fax(218) 464-4277
Sole ProprietorNo
Medical School CMSUniversity Of Houston - College Of OptometryGraduated 1995
Enumeration DateFebruary 23, 2006
Last NPPES UpdateNovember 24, 2015
✔ NPI 1902872518 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in MN · 2532
Definition
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.
3308 W ARROWHEAD RD, Duluth, MN 55811
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Other Identifiers 12

Other897821009672MN · Preferred One
Other6C247THFM · Bcbs & Atrium
Other6C247THMN · First Plan Minnesota
Medicare PIN410000998
Other2207595MN · Medica
Other114513MN · Ucare
OtherA62871009672MN · Preferred One
Medicare UPINU57678MN
Other2203073MN · Medica
Other411894091MN · Tin
Other410036000MN · Railroad Medicare
Medicaid850527600MN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Teresa F Theobald O.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9032136890
PECOS Enrollment IDI20100922000753
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
58 services58 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
44 services43 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
16 services15 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
15 services15 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55811 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$127.61 typical visit price
range $56.00 – $168.28
Typical copayment $31.90 (range $14.00 – $42.07)
Most-billed visit code 99204
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARTIN J THEOBALD O.D.
Optometrist
3308 W ARROWHEAD RD
DULUTH, MN 55811
St. Louis County (218) 727-6400
MARK D. HOMSTAD, D.P.M., P.A.
Podiatrist
3308 W ARROWHEAD RD
DULUTH, MN 55811
St. Louis County (218) 722-2008
THEOBALD FAMILY EYE CARE, LLP
Optometrist
3308 W ARROWHEAD RD
DULUTH, MN 55811
St. Louis County (218) 727-6400

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Teresa Theobald's NPI number?

The NPI number for Teresa Theobald is 1902872518. It was assigned to this individual provider in the NPPES registry on February 23, 2006.

Where is Teresa Theobald located?

Teresa Theobald practices at 3308 W Arrowhead Rd, Duluth, MN 55811. The listed phone number is (218) 727-6400.

What is Teresa Theobald's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Teresa Theobald enrolled in Medicare?

Yes. Teresa Theobald is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Teresa Theobald accept?

Health plans from Medica and Providence Health Plan list Teresa Theobald as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Teresa Theobald was last updated on November 24, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.