Kyla Teske, ABOC, NCLEC, LDO

Primary specialty

OpticianTaxonomy code 156FX1800X

License

LDO-003235 Issued in AZ

Practice address

12900 W Thunderbird Rd
El Mirage, AZ 85335-5945

Phone

(623) 583-8920

Fax

(623) 583-8979

NPI assigned

Mar 29, 2025

Last updated

Mar 29, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1743206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743206400000",
    "number": "1154124774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12900 W THUNDERBIRD RD",
            "city": "EL MIRAGE",
            "state": "AZ",
            "postal_code": "853355945",
            "telephone_number": "623-583-8920",
            "fax_number": "623-583-8979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12900 W THUNDERBIRD RD",
            "city": "EL MIRAGE",
            "state": "AZ",
            "postal_code": "853355945",
            "telephone_number": "623-583-8920",
            "fax_number": "623-583-8979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TESKE",
        "first_name": "KYLA",
        "credential": "ABOC, NCLEC, LDO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-29",
        "last_updated": "2025-03-29",
        "certification_date": "2025-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "AZ",
            "license": "LDO-003235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Optician in El Mirage, AZ
• Providers in El Mirage, AZ by specialty
• Optician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 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.

Verify at the official NPI Registry.