Jacqueline Theis, OD, PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

JACQUELINE THEIS, OD, PLLC

Practice address

3721 Westerre Pkwy Ste B
Richmond, VA 23233-1332

Phone

(804) 387-2902

NPI assigned

Jul 24, 2020

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jacqueline Theis, OD

Title

Owner

Phone

(415) 404-0557

Specialties & licenses 4

Addresses

Other names 1

• Virginia Neuro-Optometry Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1595548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764028800000",
    "number": "1215546403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10124 W BROAD ST STE E",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230603330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3721 WESTERRE PKWY STE B",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232331332",
            "telephone_number": "804-387-2902"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10124 W Broad St Ste E",
            "address_purpose": "LOCATION",
            "city": "Glen Allen",
            "state": "VA",
            "postal_code": "230603330",
            "country_code": "US",
            "telephone_number": "804-387-2902",
            "fax_number": "804-509-0543",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JACQUELINE THEIS, OD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-24",
        "last_updated": "2025-11-25",
        "certification_date": "2025-11-25",
        "status": "A",
        "authorized_official_last_name": "THEIS",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "415-404-0557",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "152WS0006X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Sports Vision",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Virginia Neuro-Optometry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kelly Aswad Jacobson, SLP
• Natalie Jacobson, PA-C
• Kristin Dahl Jacoby, MS PT
• David Michael Jaconski, ATC
• Jacqueline Johnson Curl DDS PC
• Jennifer Beth Bailey Jadallah, PHARM.D.
• Aniket Bhaskar Jadhav, DDS, MDS.
• Nima Jadidi, M.D.
• Chaninun Jadsadakraisorn, DDS
• Sean Jaeger

• Optometrist in Richmond, VA
• Providers in Richmond, VA by specialty
• Optometrist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.