RANDALL L TEAGUE OD PA
Optometry at Hermitage Rd, Little Rock, AR

License number
Arkansas 2254
Category
Optometry
Type
Optometrist
Owner
Name: DR. RANDALL L TEAGUE O.D.
Title: OPTOMETRIST / OWNER
Phone: (501) 224-7056
Address
Address
11115 Hermitage Rd, Little Rock, AR 72211
National Provider ID: 1558677476
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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RANDALL L. TEAGUE, O.D., PA

11701 Interstate 30, Little Rock, AR 72209

Registration:
Jan 5, 1993
State ID:
100101125
Business type:
For Profit Corporation
President:
Randall L. Teague (President)
Agent:
Randall L. Teague, O.d.(I),11701 Interstate 30, Little Rock, AR 72209 (Physical)
Filled under act:
Dom Prof Corp; 155 of 1963

Randall L Teague OD PA

11115 Hermitage Rd, Little Rock, AR 72211

Industry:
Optometrist's Office
Doing business as:
Teague Vision Clinic
Medical Doctor, Optometrist / Owner, Owner, President, Principal:
Randall Teague Medical Doctor, Optometrist / Owner, Owner, President, Principal, inactive

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