| NPI | 1992232102 |
|---|---|
| Doing Business As | TEAGUE EYE & VISION CLINIC |
| Entity Type | Organization |
| Authorized Contact | RUSSELL SIMMONS Owner 501-778-2363 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Enumeration Date | 2017-05-18 |
| Last Update Date | 2024-08-13 |