MEDICARE: DR. DAVID TEED O.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	6289TG	TX

General Provider Information

NPI Number	:	1922027788
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAVID TEED O.D.

Provider Business Mailing Address
First Line	:	3012 E HEBRON PKWY STE 100
Second Line	:
City	:	CARROLLTON
State	:	TX
Zip	:	75010-4461
Country	:	US
Telephone Number	:	972-307-5000
Fax Number	:	972-307-7717

Provider Business Practice Location Address
First Line	:	3012 E HEBRON PKWY STE 100
Second Line	:
City	:	CARROLLTON
State	:	TX
Zip	:	75010-4461
Country	:	US
Telephone Number	:	972-307-5000
Fax Number	:	972-307-7717

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/19/2006
Last Update Date	:	03/17/2018

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Directions to “ DR. DAVID TEED O.D.” Practice Location

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