Teague Eye Clinic

LBN: Audie M Teague O D P A
Teague Eye Clinic is an health care organization with primary practice located at 204 E 2Nd Sreet S , Prescott AR 71857. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Audie M Teague O D P A can be contacted via phone (870) 887-3596, or through Teague, Audie M. via phone (870) 887-3596.

Contact Information

Primary practice address
204 E 2Nd Sreet S Prescott AR 71857
Fax: (870) 887-3945
Website:
Authorized official contact:
Name: Teague, Audie M. Doctor of Optometry (OD)

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 2325 Arkansas

Profile Details

NPI number 1699856278
LBN Legal business name Audie M Teague O D P A
DBA Doing business as Teague Eye Clinic
Authorized official Teague, Audie M. Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 18th, 2006
Last updated Aug 14th, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699856278 NPPES
Arkansas Other 410011556 RAILROAD MEDICARE
Arkansas MEDICAID 112122722 RAILROAD MEDICARE

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