Active NPI
Gene O Teigen, O.D.
- Optometrist
- Spokane, WA
National Provider Identifier
1376514976
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OD00001023
- Practice address
- 9671 N Nevada St
Suite 210
Spokane, WA 99218-1146 - Phone
- (509) 468-2020
- NPI assigned
- Jan 31, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OD00001023 | WA | Primary |
Addresses
Primary practice location
9671 N Nevada St
Suite 210
Spokane, WA 99218-1146
Mailing address
11614 N Alberta LN
Spokane, WA 99218-2607
Phone (509) 467-3219
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2004398 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138665600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1282003200000",
"number": "1376514976",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11614 N ALBERTA LN",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992182607",
"telephone_number": "509-467-3219"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9671 N NEVADA ST",
"address_2": "SUITE 210",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992181146",
"telephone_number": "509-468-2020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TEIGEN",
"first_name": "GENE",
"middle_name": "O",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-01-31",
"last_updated": "2010-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "WA",
"license": "OD00001023",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2004398",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Spokane, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 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.