Tasobb, LLC

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

Legal business name

TASOBB, LLC

Practice address

10779 Alpharetta Hwy
Roswell, GA 30076-5677

Phone

(404) 910-2690

NPI assigned

Aug 18, 2022

Last updated

Aug 22, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mariana Queiroz

Title

Office Manager

Phone

(404) 910-2690

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Angela Girello, O.D.

  • Optometrist
  • Roswell, GA
  • NPI 1427295740
  Medicare reassignment NPD

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

{
    "created_epoch": "1660780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661126400000",
    "number": "1184342818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 N RIVER DR UNIT E",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303501906",
            "telephone_number": "404-910-2690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10779 ALPHARETTA HWY",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300765677",
            "telephone_number": "404-910-2690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TASOBB, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-18",
        "last_updated": "2022-08-22",
        "certification_date": "2022-08-22",
        "status": "A",
        "authorized_official_last_name": "QUEIROZ",
        "authorized_official_first_name": "MARIANA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "404-910-2690"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Inder Sumrat Tandon, M.D.
• Patrick C. Tanner, AT-C
• Perry Tanner, PA-C
• Stanley S Tao, M.D.
• Tara Fowler Optometric Corporation (Hazel Family Eyecare)
• Tavias Home Care
• Sandra Lee Taylor-Anderson, LPC,CACII, NCAC,BRI
• Anna Cate Taylor, BCBA
• Ashley N Taylor, NP
• Brooke Taylor

• Eyewear Supplier in Roswell, GA
• Providers in Roswell, GA by specialty
• Eyewear Supplier in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.