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

Scott Kenneth Theodore

Individual provider Optometrist · NPI 1669176731

Scott Kenneth Theodore is an Optometry in Denver, Colorado. Qualified in 2023, 3 years ago. Practices with Jeri a Schneebeck, OD, PC, a 6-clinician group and works from 2 locations. Licensed in Colorado and Virginia.

Years since qualifying
3
Licensed in
CO, VA
In the registry since
2023
Specialties on file
2
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Practice location Address checks out

4804 Chambers Rd
Denver, CO 80239-5152
Phone: (303) 576-6655
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1363 N Victor St # N120, Aurora, CO 80011-7082 — (562) 533-8697

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 3691 (CO)
Optometrist Taxonomy 152W00000X · Licence 0618003264 (VA)

Record details

NPI number1669176731
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 30, 2023
Last updated in NPPESJuly 12, 2024
Certification dateJuly 12, 2024
Mailing address4804 Chambers Rd, Denver, CO 80239-5152

Medicare enrollment

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

Medicare specialtyOPTOMETRY
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Jeri A Schneebeck, Od, Pc — 6 clinicians
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

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