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

Individual provider Optometrist · NPI 1760415947

Shane Theobald, OD is an Optometry in Chandler, Arizona. Graduated from Southern College of Optometry in 2006, 20 years ago. Practices with Barnet Dulaney Perkins Eye Center, PC, a 103-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
20
Trained at
Southern College of Optometry
Licensed in
AZ
In the registry since
2006
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

1717 W Chandler Blvd
Chandler, AZ 85224
Phone: (480) 821-7565
Fax: (480) 821-4303
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 1521 (AZ)

Record details

NPI number1760415947
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedJuly 9, 2006
Last updated in NPPESMarch 4, 2014
Mailing address25500 N. Norterra Parkway, Bldg B, Phoenix, AZ 85085

Medicare enrollment

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

Medicare specialtyOPTOMETRY
Medical schoolSOUTHERN COLLEGE OF OPTOMETRY
Graduated 2006 (20 years in practice)
Group practice Barnet Dulaney Perkins Eye Center, Pc — 103 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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