Dr. Fausta Tabe, O.D.
Optometrist in Richmond, VA. Individual provider (NPI-1).
NPI number1124366190
StatusActive
Last updated in NPPESMay 21, 2020
Details
- NPI
- 1124366190
- Entity type
- Individual (NPI-1)
- Name
- Dr. Fausta Tabe
- Credential
- O.D.
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jan 24, 2013
- Certification date
- May 21, 2020
- Last updated
- May 21, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | 0618002183 | VA | Yes |
| 152W00000X | Optometrist | 27OM00111400 | NJ | |
| 152W00000X | Optometrist | 27OA00644800 | NJ | |
| 152W00000X | Optometrist | TA2324 | MD |
Practice location
7135 Staples Mill RdRichmond, VA 23228-4104
Phone 804-264-7095 · Fax 804-264-7097
Mailing address
7135 Staples Mill RdRichmond, VA 23228-4104
Phone 804-264-7095
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