Donald E. Teagle Optometric Corporation

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

DONALD E. TEAGLE OPTOMETRIC CORPORATION

Practice address

1306 Glendale Galleria
Glendale, CA 91210-1400

Phone

(818) 956-0873

Fax

(818) 956-1307

NPI assigned

May 31, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Donald Edward Teagle, OD

Title

President

Phone

(818) 956-0873

Specialties & licenses 1

Addresses

Other names 1

• Teagle Optometry Doing business as

Locations

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

{
    "created_epoch": "1622419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622505600000",
    "number": "1891361978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1306 GLENDALE GALLERIA",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912101400",
            "telephone_number": "818-956-0873",
            "fax_number": "818-956-1307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1306 GLENDALE GALLERIA",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912101400",
            "telephone_number": "818-956-0873",
            "fax_number": "818-956-1307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DONALD E. TEAGLE OPTOMETRIC CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-31",
        "last_updated": "2021-06-01",
        "certification_date": "2021-06-01",
        "status": "A",
        "authorized_official_last_name": "TEAGLE",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-956-0873",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Teagle Optometry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Claudia Dominguez
• Yonatan Dominguez
• Don Mehrabi MD a Professional Medical Corporation
• Don W Lee, MD, a Medical Corporation
• Don W. Lee, M.D.
• Donald E. Teagle, OD
• Donald J Williams MD a Professional Corporation
• Margaret Ann Donohue, PHD
• Rachel Donoso
• Sarine Donoyan

• Optometrist in Glendale, CA
• Providers in Glendale, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2021; 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.