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SHANE THEOBALD, OD

OD

Optometrist

NPI: 1760415947IndividualAccepts Medicare

Specialties, Licenses & Credentials

OptometristPrimary

Optometrist

Code: 152W00000X

1521(AZ)

CMS Specialties

PrimaryOPTOMETRY

Education

SOUTHERN COLLEGE OF OPTOMETRY

Class of 2006

Contact & Hours

Address
1717 W CHANDLER BLVD
CHANDLER, AZ 85224

Quick Facts

NPI
1760415947
Entity Type
Individual
Gender
Male
Medicare
Accepted
Specialties
1
Locations
1
Years in Practice
20

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