Teague Eye Care Center PA

Primary specialty

OptometristTaxonomy code 152W00000X

License

2325 Issued in AR

Legal business name

TEAGUE EYE CARE CENTER PA

Practice address

1421 Country Club Rd
Camden, AR 71701-4507

Phone

(870) 836-7319

Fax

(870) 836-7310

NPI assigned

Sep 26, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Audie M. Teague, O.D.NPI 1821185091

Title

President

Phone

(870) 836-7319

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in AR2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Audie M. Teague, O.D.

  • Optometrist
  • Prescott, AR
  • NPI 1821185091

  AR, Optometrist

  Medicare reassignment Care Compare group NPD Authorized official
• Kristen D Teague, O.D.

  • Optometrist
  • Camden, AR
  • NPI 1598079451

  AR, Optometrist

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303776000000",
    "number": "1891896072",
    "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": {
        "organization_name": "TEAGUE EYE CARE CENTER PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2011-04-26",
        "status": "A",
        "authorized_official_last_name": "TEAGUE",
        "authorized_official_first_name": "AUDIE",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "870-836-7319",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "AR",
            "license": "2325",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "161690722",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DME",
            "identifier": "5632710001",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DE4369",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melissa Sumner
• Tami R Sweaza
• Sweet Home Elderly Services, LLC
• Tanesthesia, Inc
• Taylor D. Everett DDS, PA
• Kristen D Teague, O.D.
• Lydia Thompson, SLPA
• Stephanie Yolanda Thompson
• Timbland Dental
• Touch of Health Care Therapy

• All providers in Camden, AR
• Optometrist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.