DR. THERESA M SETLOCK OD
NPI 1922081454
Optometrist in Tucson, AZ

Active since November 29, 2005PECOS EnrolledAccepts Medicare Assignment
6987 N ORACLE RD, TUCSON, AZ 85704(520) 297-2501(520) 297-9496 Get Directions Write a Review

NPPES record last updated: March 29, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Theresa M Setlock Od NPPES

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

DR. THERESA M SETLOCK OD (NPI 1922081454) is an individual optometrist in Tucson, Arizona, licensed in Arizona (753) and active in the NPI registry since November 2005. She is enrolled in Medicare PECOS and is a graduate of Pacific University - College Of Optometry (1986).

NPPES Registry Identity

NPI1922081454
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. THERESA M SETLOCKCredential: OD
Location Address6987 N ORACLE RDTucson, AZ 85704-4224
Mailing Address11080 N Poinsettia DrTucson, AZ 85737-9564 · (520) 797-0244
Fax(520) 297-9496
Sole ProprietorYes
Medical School CMSPacific University - College Of OptometryGraduated 1986
Enumeration DateNovember 29, 2005
Last NPPES UpdateMarch 29, 2011
NPI 1922081454 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 AZ · 753
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.
6987 N ORACLE RD, Tucson, AZ 85704

Other Identifiers 4

Medicaid049272AZ
Medicare ID-Type Unspecified102600AZ
Medicare UPINU17396
Medicare ID-Type Unspecified102599AZ

Accepted 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

Dr. Theresa M Setlock Od 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 ID7618916743
PECOS Enrollment IDI20050428000484
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85704 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
$127.71 typical visit price
range $55.44 – $168.60
Typical copayment $31.92 (range $13.86 – $42.15)
Most-billed visit code 99204
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
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 6

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

Optometrist
6987 N ORACLE RD
TUCSON, AZ 85704
Optometrist
6987 N ORACLE RD
TUCSON, AZ 85704
Eyewear Supplier
6987 N ORACLE RD
TUCSON, AZ 85704
Optometrist
6987 N ORACLE RD
TUCSON, AZ 85704
Optometrist
6987 N ORACLE RD
TUCSON, AZ 85704
Optometrist
6987 N ORACLE RD
TUCSON, AZ 85704

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 Theresa Setlock's NPI number?

The NPI number for Theresa Setlock is 1922081454. It was assigned to this individual provider in the NPPES registry on November 29, 2005.

Where is Theresa Setlock located?

Theresa Setlock practices at 6987 N Oracle Rd, Tucson, AZ 85704. The listed phone number is (520) 297-2501.

What is Theresa Setlock's specialty?

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

Is Theresa Setlock enrolled in Medicare?

Yes. Theresa Setlock 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 Theresa Setlock accept?

Health plans from Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana and Blue Cross and Blue Shield of Montana and 3 other insurers list Theresa Setlock 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 Theresa Setlock was last updated on March 29, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.