Audie M. Teague, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

2325 Issued in AR

Practice address

204 E 2ND Street S
Prescott, AR 71857

Phone

(870) 887-3596

Fax

(870) 887-3945

NPI assigned

Oct 6, 2006

Last updated

Jan 14, 2013By 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 1

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

Southern College of Optometry, 1983

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Audie M Teague O D P a

  dba Teague Eye Clinic

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

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

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358121600000",
    "number": "1821185091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 189",
            "city": "PRESCOTT",
            "state": "AR",
            "postal_code": "718570189",
            "telephone_number": "870-887-3596",
            "fax_number": "870-887-3945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 E 2ND STREET S",
            "city": "PRESCOTT",
            "state": "AR",
            "postal_code": "71857",
            "telephone_number": "870-887-3596",
            "fax_number": "870-887-3945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEAGUE",
        "first_name": "AUDIE",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-06",
        "last_updated": "2013-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AR",
            "license": "2325",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103598722",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James L Strickland, LPN
• Tamara Ann Strickland, LPN
• Super D Drug Acquisition Co. (Holly's Health Mart #23)
• Tba Texarkana LLC (Vista Health Texarkana (Prescott Rspmi))
• Tba Texarkana LLC (Vista Health Texarkana (Prescott GRP))
• Texarkana Behavioral Associates, L.C. (Riverview Behavioral Health Outpatient Program)
• Texarkana Kidney Disease & Hypertension Center, Inc.
• Sheila Ann Thornton
• Sage Vermont Thurlby, M.D.
• Brandy Ann Tidwell, LPN

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 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.