Search › Virginia › 152W00000X
Theodore Hallberg, OD
NPI 1255331757 · on the registry since 2005
Practice
- Address
- 3206 Churchland Blvd
Chesapeake, VA 23321 - Phone
- (757) 484-0101
- Fax
- (757) 484-0515
- Organisation at this address
- Optical Shoppe Pllc
Southside Eye Care PllcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 152W00000X
152W00000X
- Licence states on file
- VA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2010-07-21
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia