Organization · Type 2 NPI
Idabel Teg LLC
Eyewear Supplier · Idabel, OK
NPI number
1104533009
Active
Practice location
2020 S E Washington
Idabel, OK 74745
Fax (903) 329-5053
Mailing address
4109 Moores Ln
Texarkana, TX 75503-2159
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Eyewear Supplier Primary | 332H00000X | None listed |
Eyewear Supplier: An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.
Another provider at this address
About NPI 1104533009
Idabel Teg LLC's National Provider Identifier is 1104533009, issued on Oct 31, 2022. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in Idabel, OK. The record was last updated on Dec 8, 2022.