Individual
DR. REX G TEEPLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1921 E. 53RD STREET, ANDERSON, IN 46013-4029
(765) 649-2278
(317) 259-8609
Mailing address
9795 CROSSPOINT BLVD, SUITE 100, INDIANAPOLIS, IN 46256-3354
(317) 254-6480
(317) 259-8609
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18001679A
IN
152W00000X
Optometrist
18001679B
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20091414970
—
IN
05
—
200914970B
—
IN
Enumeration date
12/06/2006
Last updated
09/03/2014
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