| NPI | 1558677476 |
|---|---|
| Doing Business As | TEAGUE VISION CLINIC |
| Entity Type | Organization |
| Authorized Contact | RANDALL L TEAGUE O PT Ometrist / Owner 501-224-7056 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: AR 2254) |
| Enumeration Date | 2010-08-30 |
| Last Update Date | 2010-08-30 |