Gary Alan Teig, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1570 Issued in IA

Practice address

860 2ND Ave SE
Ste. B
Cedar Rapids, IA 52403-2460

Phone

(319) 365-8621

NPI assigned

Jun 19, 2006

Last updated

Jan 16, 2008By 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 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Optometric Associates of Cedar Rapids,P.C.

  • Optometrist
  • Cedar Rapids, IA
  • NPI 1396817367
  NPD (past)

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

{
    "created_epoch": "1150675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200441600000",
    "number": "1982649349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "860 2ND AVE SE",
            "address_2": "STE. B",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524032460",
            "telephone_number": "319-365-8621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "860 2ND AVE SE",
            "address_2": "STE. B",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524032460",
            "telephone_number": "319-365-8621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEIG",
        "first_name": "GARY",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-19",
        "last_updated": "2008-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IA",
            "license": "1570",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0040170",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS, BLUE SHIELD",
            "identifier": "07579",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lasharon Leah Taylor, LPC, LMHC, IADC
• Mark C Taylor, MD MPH
• Taz Pharmacies CR, LLC (Medicap Pharmacy)
• Carrie Christine Teahen, DDS
• Tanya Bruster Teggatz, MD
• Michael Steven Telisak, M.D.
• Kathleen M Teraberry, MSW LISW
• Ryan R Terribile, LMSW
• Mary Tharp, LISW
• Eric Duane Thayer, DNP

• Optometrist in Cedar Rapids, IA
• Providers in Cedar Rapids, IA by specialty
• Optometrist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2008; 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.