Fausta Tabe, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

0618002183 Issued in VA

Practice address

7135 Staples Mill Rd
Richmond, VA 23228-4104

Phone

(804) 264-7095

Fax

(804) 264-7097

NPI assigned

Jan 24, 2013

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in VA, DC, AZ3 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 3

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Myeyedr Optometry of Virginia PLLC

  • Optometrist
  • Ashburn, VA
  • NPI 1174933691
  Medicare reassignment NPD
• Sightrite Medical VA PLLC

  • Optometrist
  • Richmond, VA
  • NPI 1669095634

  DC

  Medicare reassignment NPD
• Family First Vision Care Arizona PLLC

  • Optometrist
  • Phoenix, AZ
  • NPI 1639875826
  Medicare reassignment NPD
• Myeyedr Optometry of Virginia, PLLC

  • Optometrist
  • Yorktown, VA
  • NPI 1710533963
  NPD
• Myeyedr Optometry of Virginia, PLLC

  • Optometrist
  • North Chesterfield, VA
  • NPI 1932075983
  NPD
• Family First Vision Care Arizona PLLC

  • Optometrist
  • Phoenix, AZ
  • NPI 1710417514
  NPD
• Dr Amanda Paull and Associates PLLC

  • Optometrist
  • Richmond, VA
  • NPI 1992956163
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1358985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590019200000",
    "number": "1124366190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7135 STAPLES MILL RD",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232284104",
            "telephone_number": "804-264-7095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7135 STAPLES MILL RD",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232284104",
            "telephone_number": "804-264-7095",
            "fax_number": "804-264-7097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TABE",
        "first_name": "FAUSTA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-01-24",
        "last_updated": "2020-05-21",
        "certification_date": "2020-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OM00111400",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618002183",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00644800",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MD",
            "license": "TA2324",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Richmond, VA
• Providers in Richmond, VA by specialty
• Optometrist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.