Provider Demographics
NPI:1609256627
Name:MCCARTNEY, THERESA (OD)
Entity Type:Individual
Prefix:DR
First Name:THERESA
Middle Name:
Last Name:MCCARTNEY
Suffix:
Gender:F
Credentials:OD
Other - Prefix:DR
Other - First Name:THERESA
Other - Middle Name:
Other - Last Name:DELLAERT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OD
Mailing Address - Street 1:255 JOHN F KENNEDY RD
Mailing Address - Street 2:
Mailing Address - City:DUBUQUE
Mailing Address - State:IA
Mailing Address - Zip Code:52002-5313
Mailing Address - Country:US
Mailing Address - Phone:563-583-5895
Mailing Address - Fax:563-583-0008
Practice Address - Street 1:255 JOHN F KENNEDY RD
Practice Address - Street 2:
Practice Address - City:DUBUQUE
Practice Address - State:IA
Practice Address - Zip Code:52002-5313
Practice Address - Country:US
Practice Address - Phone:563-583-5895
Practice Address - Fax:563-583-0008
Is Sole Proprietor?:Yes
Enumeration Date:2015-06-04
Last Update Date:2019-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA078334152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist