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

Mr. Theodore M Hallberg, OD

Individual provider Optometrist · NPI 1255331757

Mr. Theodore M Hallberg, OD is an Optometry in Chesapeake, Virginia. Graduated from Illinois College of Optometry at Chicago in 1996, 30 years ago. Practices with Southside Eye Care PLLC, a 3-clinician group and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
30
Trained at
Illinois College of Optometry at Chicago
Licensed in
VA
In the registry since
2005
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

3206 Churchland Blvd
Chesapeake, VA 23321-5206
Phone: (757) 484-0101
Fax: (757) 484-0515
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 0601002124 (VA)

Record details

NPI number1255331757
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedJuly 26, 2005
Last updated in NPPESJuly 21, 2010

Medicare enrollment

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

Medicare specialtyOPTOMETRY
Medical schoolILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Graduated 1996 (30 years in practice)
Group practice Southside Eye Care Pllc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Chesapeake