Idabel Teg LLC
Eyewear Supplier (Equipment, not the service) in Idabel, OK. Organization (NPI-2).
NPI number1104533009
StatusActive
Last updated in NPPESDec 8, 2022
Details
- NPI
- 1104533009
- Entity type
- Organization (NPI-2)
- Legal business name
- Idabel Teg LLC
- Organization subpart
- No
- Enumeration date
- Oct 31, 2022
- Certification date
- Dec 8, 2022
- Last updated
- Dec 8, 2022
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332H00000X | Eyewear Supplier (Equipment, not the service) | – | – | Yes |
Other names
- The Eye Guys (Doing Business As)
Practice location
2020 S E WashingtonIdabel, OK 74745
Phone 903-329-5051 · Fax 903-329-5053
Mailing address
4109 Moores LnTexarkana, TX 75503-2159
Authorized official
Kayla E Grassie
Billing
9033295051
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