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

Dr. Todd A Theobald, MD

Individual provider Ophthalmology Physician · NPI 1720077993

Dr. Todd A Theobald, MD is an Ophthalmology in Lafayette, Colorado. Graduated from St Louis College of Physicians and Surgeons in 2001, 25 years ago. Practices with Colorado Permanente Medical Group PC, a 1,325-clinician group and accepts Medicare assignment. Licensed in Colorado, Georgia, Missouri and Virginia.

Years since qualifying
25
Trained at
St Louis College of Physicians and Surgeons
Licensed in
CO, GA, MO, VA
In the registry since
2005
Specialties on file
4
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

280 Exempla Cir
Lafayette, CO 80026-3370
Phone: (303) 338-4545
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ophthalmology Physician (primary) Taxonomy 207W00000X · Licence DR.0057386 (CO)
Ophthalmology Physician Taxonomy 207W00000X · Licence 2009032081 (MO)
Ophthalmology Physician Taxonomy 207W00000X · Licence 0101237885 (VA)
Ophthalmology Physician Taxonomy 207W00000X · Licence 74395 (GA)

Record details

NPI number1720077993
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 19, 2005
Last updated in NPPESJune 21, 2021
Certification dateJune 21, 2021
Mailing address10350 E Dakota Ave, Denver, CO 80247-1314

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPHTHALMOLOGY
Medical schoolST. LOUIS COLLEGE OF PHYSICIANS AND SURGEONS
Graduated 2001 (25 years in practice)
Group practice Colorado Permanente Medical Group Pc — 1325 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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