Gene Teigen OD Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

OD00001023 Issued in WA

Legal business name

GENE TEIGEN OD INC

Practice address

9671 N Nevada St
Ste 210
Spokane, WA 99218-1146

Phone

(509) 468-2020

NPI assigned

Jun 11, 2009

Organization subpart

No

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

Authorized official

Name

Gene O Teigen, OD

Title

President

Phone

(509) 468-2020

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1244678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287360000000",
    "number": "1275760712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9671 N NEVADA ST",
            "address_2": "STE 210",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992181146",
            "telephone_number": "509-468-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9671 N NEVADA ST",
            "address_2": "STE 210",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992181146",
            "telephone_number": "509-468-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENE TEIGEN OD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-11",
        "last_updated": "2010-10-18",
        "status": "A",
        "authorized_official_last_name": "TEIGEN",
        "authorized_official_first_name": "GENE",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "509-468-2020",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "WA",
            "license": "OD00001023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Spokane, WA
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2010; 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.