Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jacqueline Theis, OD, PLLC

Organization Optometrist · NPI 1215546403

Jacqueline Theis, OD, PLLC is an Optometrist in Richmond, Virginia. Works from 2 locations. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
4
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3721 Westerre Pkwy Ste B
Richmond, VA 23233-1332
Phone: (804) 387-2902
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 10124 W Broad St Ste E, Glen Allen, VA 23060-3330 — (804) 387-2902

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X
Pediatric Optometrist Taxonomy 152WP0200X
Sports Vision Optometrist Taxonomy 152WS0006X
Occupational Therapist Taxonomy 225X00000X

Record details

NPI number1215546403
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jacqueline Theis — Owner · (415) 404-0557
Other names Virginia Neuro-Optometry
NPI enumeratedJuly 24, 2020
Last updated in NPPESNovember 25, 2025
Certification dateNovember 25, 2025
Mailing address10124 W Broad St Ste E, Glen Allen, VA 23060-3330

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