Van M Teague, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

1141 Issued in NC

Practice address

800 S Stratford Rd
Winston Salem, NC 27103-3202

Phone

(336) 765-5788

Fax

(336) 765-5584

NPI assigned

Jun 13, 2006

Last updated

Feb 15, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Southern California College of Optometry, 1981

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Triad Eye Associates of King PLLCGroup PAC ID 6507380441, 4 clinicians

Eyecarecenter OD PAGroup PAC ID 7315834462, 71 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: vteague@direct.eyecare-partners.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Eyecarecenter OD PA

  • Optometrist
  • Cary, NC
  • NPI 1417973546
  Medicare reassignment Care Compare group NPD
• Triad Eye Associates of King PLLC

  • Optometrist
  • King, NC
  • NPI 1477366870
  Medicare reassignment Care Compare group NPD
• Eyecarecenter OD PA

  • Optometrist
  • Winston Salem, NC
  • NPI 1356621155
  NPD
• Eyecarecenter, O.D., P.a.

  dba EyeCare Center

  • Optometrist
  • Fayetteville, NC
  • NPI 1336876788
  NPD
• Beth Warren

  dba Community Eye Associates

  • Optometrist
  • King, NC
  • NPI 1275589244
  NPD (past)
• C.V. Sikes,Jr. & R.B. Gotschalk PTR

  dba Family Eye Care Optometry

  • Optometrist
  • Sanford, NC
  • NPI 1083768311
  NPD (past)
• Eyecarecenter OD PA

  • Optometrist
  • Wilson, NC
  • NPI 1376582239
  NPD (past)

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203033600000",
    "number": "1336182823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 S STRATFORD RD",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271033202",
            "telephone_number": "336-765-5788",
            "fax_number": "336-765-5584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 S STRATFORD RD",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271033202",
            "telephone_number": "336-765-5788",
            "fax_number": "336-765-5584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEAGUE",
        "first_name": "VAN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-13",
        "last_updated": "2008-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "1141",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSNC PROVIDER ID",
            "identifier": "09891",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8909891",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amanda Teachey, PHARMD
• Daniel Joseph Teague, M.D.
• Kaylie Chrismon Teague, MS, RDN, LDN
• Micah Nicole Teague, RD
• Sidney Calvin Teague II, DDS
• Teamcare Inc.
• Grace Auton Teasdall, PA
• Kathy Jackson Teasdall, MD
• Robert Douglas Teasdall, MD
• Grace Alexandra Tedder

• Optometrist in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Optometrist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.