Individual provider Active NPI

William Baxter Teague, OD

  • Optometrist
  • Asheville, NC
National Provider Identifier
1942457775
Registry record updated Jun 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2124 Issued in NC
Practice address
4 S Tunnel Rd
Suite 800
Asheville, NC 28805-2237
Phone
(828) 298-6500
Fax
(828) 298-9108
NPI assigned
Aug 22, 2008
Last updated
Jun 16, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2831 TN
Optometrist 152W00000X 2124 NC Primary
Optometrist 152W00000X OPT002640 GA

Addresses

Primary practice location

4 S Tunnel Rd
Suite 800
Asheville, NC 28805-2237

Mailing address

4 S Tunnel Rd
Suite 800
Asheville, NC 28805-2237
Phone (828) 298-6500

Other identifiers 1

IdentifierTypeStateIssuer
5911445MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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

Enrollment IDStateProvider typePAC IDDetails
I20090504000569 NC Practitioner - Optometry 7214085042 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Western NC Optometric Group PAGroup PAC ID 5799723516, 2 clinicians

Practice addresses (Care Compare)

4 S Tunnel Rd
Asheville, NC 28805-2237

4 S Tunnel Rd
Suite 800
Asheville, NC 28805-2589
Phone (828) 298-6500

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery32

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT002640GAMDOptometrist
2831TNMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Risk Optometric Associates, PA Optometrist CurrentSince Jun 25, 2014 Accepting new patients
Asheville Optometric Group PA Optometrist PastSince Oct 1, 2015 Accepting new patients

Locations

4601 Ramsey St
Fayetteville, NC 28311
Phone (910) 488-2828

Interoperability endpoints

  • Direct secure messaging: william.teague@uprisedirect.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1219363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466035200000",
    "number": "1942457775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 S TUNNEL RD",
            "address_2": "SUITE 800",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288052237",
            "telephone_number": "828-298-6500",
            "fax_number": "828-298-9108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 S TUNNEL RD",
            "address_2": "SUITE 800",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288052237",
            "telephone_number": "828-298-6500",
            "fax_number": "828-298-9108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEAGUE",
        "first_name": "WILLIAM",
        "middle_name": "BAXTER",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-22",
        "last_updated": "2016-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "2831",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "2124",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT002640",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5911445",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Asheville, NC

Sources for this page

Verify at the official NPI Registry.