Tessa Roberts Habash, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1463DT Issued in KY

Practice address

107 Crosswind Center Path
Georgetown, KY 40324-6190

Phone

(502) 863-6393

Fax

(502) 863-0493

NPI assigned

Jun 4, 2006

Last updated

Feb 15, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Tessa Roberts Former name

Medicare fee-for-service enrollment

Enrolled in KY

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 1

Specialty

Optometry

Education

Southern College of Optometry, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Advanced Eye Care Center, PSCGroup PAC ID 5698778256, 3 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Advanced Eye Care Center, PSC

  • Optometrist
  • Georgetown, KY
  • NPI 1427087154
  Medicare reassignment Care Compare group Authorized official
• Ky Doctors of Optometry, PLLC

  dba KY Doctors of Optometry

  • Optometrist
  • Louisville, KY
  • NPI 1700890001
  NPD
• Baptist Healthcare System Inc

  • Community/Retail Pharmacy
  • Elizabethtown, KY
  • NPI 1497585624
  NPD (past)
• Marion Eye Care Center PLLC

  • Optometrist
  • Marion, KY
  • NPI 1164530887
  NPD (past)
• Randall C Lambirth II OD & Associates PSC

  • Optometrist
  • Lexington, KY
  • NPI 1700037629
  NPD (past)
• The Ophthalmology Group, LLC

  • Ophthalmology Physician
  • Paducah, KY
  • NPI 1598717027

  Optometrist

  NPD (past)

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

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613347200000",
    "number": "1295774636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 CROSSWIND CENTER PATH",
            "city": "GEORGETOWN",
            "state": "KY",
            "postal_code": "403246190",
            "telephone_number": "502-863-6393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 CROSSWIND CENTER PATH",
            "city": "GEORGETOWN",
            "state": "KY",
            "postal_code": "403246190",
            "telephone_number": "502-863-6393",
            "fax_number": "502-863-0493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HABASH",
        "first_name": "TESSA",
        "middle_name": "ROBERTS",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-04",
        "last_updated": "2021-02-15",
        "certification_date": "2021-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KY",
            "license": "1463DT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TESSA",
            "last_name": "ROBERTS",
            "credential": "O.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• James Jerome Gullett, M.D.
• Catherine Gulley, PA
• Gus a. Bynum, M.D., P.S.C.
• Kharri Guthrie, PA
• Kefah Habash, O.D.
• Kelsey Noel Hagan
• Ann Marie Haines, COTA
• Ashley Hall
• Chamanna Shakara Hall, LCADC
• Denise Hall, CSW

• Optometrist in Georgetown, KY
• Providers in Georgetown, KY by specialty
• Optometrist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2021; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.