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NPI Code Detail

MEDICARE: DR. DONALD STEPHEN TEIG O.D.

MEDICARE: DR. DONALD STEPHEN TEIG 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
1152W00000XOptometrist000728CT

General Provider Information

NPI Number : 1215922380
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DONALD STEPHEN TEIG O.D.
Provider Business Mailing Address
First Line : 96 DANBURY RD
Second Line :
City : RIDGEFIELD
State : CT
Zip : 06877-4069
Country : US
Telephone Number : 203-438-5855
Fax Number : 203-431-0318
Provider Business Practice Location Address
First Line : 96 DANBURY RD
Second Line :
City : RIDGEFIELD
State : CT
Zip : 06877-4069
Country : US
Telephone Number : 203-438-5855
Fax Number : 203-431-0318
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/15/2005
Last Update Date : 01/18/2008

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