Provider Demographics
NPI:1740482124
Name:DR. DAVID S. TABELING & ASSOCIATES, O.D.
Entity type:Organization
Organization Name:DR. DAVID S. TABELING & ASSOCIATES, O.D.
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:513-753-4981
Mailing Address - Street 1:4601 EASTGATE BLVD
Mailing Address - Street 2:SUITE C578
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45245-1218
Mailing Address - Country:US
Mailing Address - Phone:513-753-4981
Mailing Address - Fax:513-753-0371
Practice Address - Street 1:4601 EASTGATE BLVD
Practice Address - Street 2:SUITE C578
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45245-1218
Practice Address - Country:US
Practice Address - Phone:513-753-4981
Practice Address - Fax:513-753-0371
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-05
Last Update Date:2020-08-22
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