Teague Vision Clinic

LBN: Randall L Teague Od Pa
Teague Vision Clinic is an health care organization with primary practice located at 11115 Hermitage Rd , Little Rock AR 72211-3807. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Randall L Teague Od Pa can be contacted via phone (501) 224-7056, or through Teague, Randall L via phone (501) 224-7056.

Contact Information

Primary practice address
11115 Hermitage Rd Little Rock AR 72211-3807
Phone: (501) 224-7056
Fax: (501) 224-4327
Website:
Map and Directions
Authorized official contact:
Name: Teague, Randall L Doctor of Optometry (OD)
Phone: (501) 224-7056

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 2254 Arkansas

Profile Details

NPI number 1558677476
LBN Legal business name Randall L Teague Od Pa
DBA Doing business as Teague Vision Clinic
Authorized official Teague, Randall L Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 30th, 2010
Last updated Aug 30th, 2010 - about 16 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 1558677476 NPPES
Arkansas MEDICAID 105488722

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