Jacqueline Theis, Od, Pllc

NPI #1215546403 in Richmond, Virginia

Provider Information

NPI Number: 1215546403
Entity Type: Organization
Organization Name: Jacqueline Theis, Od, Pllc
Primary Specialty: Optometrist
Enumeration Date: Jul 24, 2020
Last Updated: Nov 25, 2025

Practice Location

Address: 3721 WESTERRE PKWY STE B
City: Richmond
State: Virginia
ZIP Code: 23233-1332
Phone: (804) 387-2902

Authorized Official

Name: JACQUELINE THEIS, OD
Title: OWNER
Phone: (415) 404-0557

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X
Optometrist - Sports Vision — Sports Vision	152WS0006X
Optometrist - Pediatrics — Pediatrics	152WP0200X
Optometrist	152W00000X	Primary

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