Kristen D Teague, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

2655 Issued in AR

Practice address

1421 Country Club Rd
Camden, AR 71701-4507

Phone

(870) 836-7319

Fax

(870) 836-7310

NPI assigned

Aug 3, 2010

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

Enrolled in AR

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

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Teague Eye Care Center PAGroup PAC ID 5496761439, 2 clinicians

Audie M Teague O D P aGroup PAC ID 1153495494, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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

• Audie M Teague O D P a

  • Optometrist
  • Prescott, AR
  • NPI 1699856278
  Medicare reassignment Care Compare group NPD
• Teague Eye Care Center PA

  • Optometrist
  • Camden, AR
  • NPI 1891896072
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1280793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372118400000",
    "number": "1598079451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 953",
            "city": "CAMDEN",
            "state": "AR",
            "postal_code": "717110953",
            "telephone_number": "870-836-7319",
            "fax_number": "870-836-7310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1421 COUNTRY CLUB RD",
            "city": "CAMDEN",
            "state": "AR",
            "postal_code": "717014507",
            "telephone_number": "870-836-7319",
            "fax_number": "870-836-7310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEAGUE",
        "first_name": "KRISTEN",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-03",
        "last_updated": "2013-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AR",
            "license": "2655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tami R Sweaza
• Sweet Home Elderly Services, LLC
• Tanesthesia, Inc
• Taylor D. Everett DDS, PA
• Teague Eye Care Center PA
• Lydia Thompson, SLPA
• Stephanie Yolanda Thompson
• Timbland Dental
• Touch of Health Care Therapy
• Trinity Home Health of Southern Arkansas, LLC

• Optometrist in Camden, AR
• Providers in Camden, AR by specialty
• Optometrist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2013; 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.