Individual provider Active NPI

David Teed, O.D.

  • Optometrist
  • Carrollton, TX
National Provider Identifier
1922027788
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
6289TG Issued in TX
Practice address
3012 E Hebron Pkwy Ste 100
Carrollton, TX 75010-4461
Phone
(972) 307-5000
Fax
(972) 307-7717
NPI assigned
Jul 19, 2006
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 6289TG TX Primary

Addresses

Primary practice location

3012 E Hebron Pkwy Ste 100
Carrollton, TX 75010-4461

Mailing address

3012 E Hebron Pkwy Ste 100
Carrollton, TX 75010-4461
Phone (972) 307-5000

Other practice location 1

1514 E Belt Line Rd
Carrollton, TX 75006-6369
Phone (972) 242-2020

Other practice location 2

1514 E Belt Line Rd
Carrollton, TX 75006-6369
Phone (972) 242-2020

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

State licenses

LicenseStateTypeSpecialty
6289TGTXMDOptometrist

NPI Registry JSON

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1922027788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3012 E HEBRON PKWY STE 100",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750104461",
            "telephone_number": "972-307-5000",
            "fax_number": "972-307-7717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3012 E HEBRON PKWY STE 100",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750104461",
            "telephone_number": "972-307-5000",
            "fax_number": "972-307-7717"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1514 E Belt Line Rd",
            "address_purpose": "LOCATION",
            "city": "Carrollton",
            "state": "TX",
            "postal_code": "750066369",
            "country_code": "US",
            "telephone_number": "972-242-2020",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1514 E Belt Line Rd",
            "address_purpose": "LOCATION",
            "city": "Carrollton",
            "state": "TX",
            "postal_code": "750066369",
            "country_code": "US",
            "telephone_number": "972-242-2020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TEED",
        "first_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "6289TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carrollton, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.