Provider Demographics
NPI:1063614071
Name:DR. DAVID S. TABELING, O.D. & ASSOCIATES
Entity type:Organization
Organization Name:DR. DAVID S. TABELING, O.D. & ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:HEATHER
Authorized Official - Middle Name:D
Authorized Official - Last Name:RICHMOND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:513-232-2230
Mailing Address - Street 1:7426 BEECHMONT AVE
Mailing Address - Street 2:SUITE 209
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45255-4104
Mailing Address - Country:US
Mailing Address - Phone:513-232-2230
Mailing Address - Fax:513-232-2245
Practice Address - Street 1:7426 BEECHMONT AVE
Practice Address - Street 2:SUITE 209
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45255-4104
Practice Address - Country:US
Practice Address - Phone:513-232-2230
Practice Address - Fax:513-232-2245
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DR. DAVID S. TABELING, O.D. & ASSOCIATES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-06-01
Last Update Date:2007-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHOH4882152WC0802X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152WC0802XEye and Vision Services ProvidersOptometristCorneal and Contact ManagementGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH9307271Medicare PIN