Provider Type Icon

RANDALL L TEAGUE OD PA NPI 1558677476


NPI Information

NPI: 1558677476
Provider Name: RANDALL L TEAGUE OD PA

Doing Business As: TEAGUE VISION CLINIC

Classification: Optometrist - 152W00000X
Entity Type: Organization
Address:
11115 HERMITAGE RD
LITTLE ROCK, AR
ZIP 72211
Phone: (501) 224-7056
Get Directions

RANDALL L TEAGUE OD PA is an optometrist in Little Rock, AR. The provider is doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. RANDALL L TEAGUE OD PA NPI is 1558677476. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Teague Vision Clinic.

The provider's business location address is:

11115 HERMITAGE RD
LITTLE ROCK, AR
ZIP 72211-807
Phone: (501) 224-7056
Fax: (501) 224-4327

The provider's authorized official is Randall L Teague .
The authorized official title is Optometrist / Owner and has the following contact phone number (501) 224-7056.

The enumeration date for this NPI number is 8/30/2010 and was last updated on 8/30/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1152W00000XOptometrist2254ARKANSASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1105488722MEDICAIDARKANSAS
249077MEDICARE PINARKANSAS
3T20272MEDICARE UPINARKANSAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.