Individual
DR. DONALD EDWARD TEAGLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1321 GLENDALE GALLERIA, GLENDALE, CA 91210-1400
(818) 956-0873
(818) 956-1307
Mailing address
1321 GLENDALE GALLERIA, GLENDALE, CA 91210-1400
(818) 956-0873
(818) 956-1307
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
9454T
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GSD005100
—
CA
Enumeration date
01/23/2007
Last updated
07/09/2007
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