Active NPI
Jacqueline Theis, OD, PLLC
Doing business as Virginia Neuro-Optometry
- Optometrist
- Richmond, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- JACQUELINE THEIS, OD, PLLC
- Doing business as
- Virginia Neuro-Optometry
- Practice address
- 3721 Westerre Pkwy Ste B
Richmond, VA 23233-1332 - Phone
- (804) 387-2902
- NPI assigned
- Jul 24, 2020
- Last updated
- Nov 25, 2025
- Organization subpart
- No
NPPES NPI Registry
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
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | Primary | ||
| Pediatric Optometrist | 152WP0200X | |||
| Sports Vision Optometrist | 152WS0006X | |||
| Occupational Therapist | 225X00000X |
Addresses
Primary practice location
3721 Westerre Pkwy Ste B
Richmond, VA 23233-1332
Mailing address
10124 W Broad St Ste E
Glen Allen, VA 23060-3330
Other practice location 1
10124 W Broad St Ste E
Glen Allen, VA 23060-3330
Phone (804) 387-2902
Other names 1
- Virginia Neuro-Optometry
National Provider Directory
National Provider DirectoryLocations
10124 W Broad St
Ste E
Glen Allen, VA 23060
Phone (804) 363-7902
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Optometrist
- Richmond, VA
- NPI 1689015901
NPI Registry JSON
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"
}
]
}
Other providers in Richmond, VA
Sources for this page
- 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.