Idabel Teg LLC

Eyewear Supplier · Idabel, OK

Organization Active NPI

NPI number 1104533009

Practice location

2020 S E Washington
Idabel, OK 74745
Phone
(903) 329-5051
Fax
(903) 329-5053

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NPI record

NPI
1104533009
Entity type
Organization (Type 2)
Enumeration date
October 31, 2022
Last updated
December 8, 2022
Certified
December 8, 2022
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Eyewear Supplier Primary 332H00000X — —

Mailing address

4109 Moores Ln
Texarkana, TX 75503-2159

Authorized official

Name
Kayla E Grassie
Title
Billing
Phone
(903) 329-5051

Other names

  • The Eye Guys

About Idabel Teg LLC

Idabel Teg LLC is a healthcare organization registered in the NPI registry with the primary taxonomy Eyewear Supplier (code 332H00000X). The practice location is 2020 S E Washington, Idabel, OK 74745. The NPI number 1104533009 was assigned on October 31, 2022 and the record was last updated on December 8, 2022.

The authorized official for this organization is Kayla E Grassie, Billing.

Frequently asked questions

What is the NPI number of Idabel Teg LLC?

The NPI number is 1104533009.

What is the phone number of Idabel Teg LLC?

The phone number listed for the practice location is (903) 329-5051.

Where is Idabel Teg LLC located?

2020 S E Washington, Idabel, OK 74745.

What is the taxonomy code for Idabel Teg LLC?

The primary taxonomy code is 332H00000X – Eyewear Supplier.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.