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Donald E. Teagle Optometric Corporation

Optometrist in Glendale, CA. Organization (NPI-2).

NPI number1891361978
StatusActive
Last updated in NPPESJun 1, 2021

Details

NPI
1891361978
Entity type
Organization (NPI-2)
Legal business name
Donald E. Teagle Optometric Corporation
Organization subpart
No
Enumeration date
May 31, 2021
Certification date
Jun 1, 2021
Last updated
Jun 1, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
152W00000X Optometrist––Yes

Other names

  • Teagle Optometry (Doing Business As)

Practice location

1306 Glendale Galleria
Glendale, CA 91210-1400

Phone 818-956-0873 · Fax 818-956-1307

Mailing address

1306 Glendale Galleria
Glendale, CA 91210-1400

Phone 818-956-0873 · Fax 818-956-1307

Authorized official

Donald Edward Teagle
President
8189560873

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