MEDICARE: DR. THEODORE WILLIAM ARCHDALE O.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	1466	CO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1588660161
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. THEODORE WILLIAM ARCHDALE O.D.

Provider Business Mailing Address
First Line	:	1541 S 8TH ST
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80905-1923
Country	:	US
Telephone Number	:	719-577-4400
Fax Number	:	719-577-4954

Provider Business Practice Location Address
First Line	:	1541 S 8TH ST
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80905-1923
Country	:	US
Telephone Number	:	719-577-4400
Fax Number	:	719-577-4954

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/28/2005
Last Update Date	:	11/23/2010

Similar Medicare Providers

1154457687 — ARCHDALE EYECARE PC
Practice Location Address:

1541 S 8TH ST
COLORADO SPRINGS, CO
80905-1923

Practice Phone: 719-577-4400
Practice Fax: 719-577-4954

1164632444 — DR. JOHN L. DAUGHERTY DC
Practice Location Address:

1923 W COLORADO AVE
COLORADO SPRINGS, CO
80904-3838

Practice Phone: 719-635-4022
Practice Fax: 719-635-4735

1952781601 — SPRINGBOK HEALTH INC
Practice Location Address:

1923 W COLORADO AVE
COLORADO SPRINGS, CO
80904-3838

Practice Phone: 719-766-8511
Practice Fax: 719-208-7731

1265951990 — KELLY ELIZABETH CRITCHLEY RN
Practice Location Address:

1923 W COLORADO AVE
COLORADO SPRINGS, CO
80904-3838

Practice Phone: 303-600-8563
Practice Fax: 877-805-7372

1295409647 — MRS. REBECCA LYNN BLACKMON LPC
Practice Location Address:

1923 GUARDIAN WAY
COLORADO SPRINGS, CO
80919-3811

Practice Phone: 303-883-7022
Practice Fax:

1639802143 — DR. SHANNON B LANSFORD DNP
Practice Location Address:

1923 W COLORADO AVE
COLORADO SPRINGS, CO
80904-3838

Practice Phone: 303-600-8563
Practice Fax: 877-805-7372

Directions to “ DR. THEODORE WILLIAM ARCHDALE O.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.