Individual provider Active NPI

Tara Smith Festa, O.D.

  • Optometrist
  • Mobile, AL
National Provider Identifier
1508096512
Registry record updated Nov 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
SC26TA845 Issued in AL
Practice address
3290 Dauphin St.
Suite 401
Mobile, AL 36606-4053
Phone
(251) 471-3309
Fax
(251) 471-5046
NPI assigned
Jul 24, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2009020664 MO
Optometrist 152W00000X SC26TA845 AL Primary

Addresses

Primary practice location

3290 Dauphin St.
Suite 401
Mobile, AL 36606-4053

Mailing address

250 State Farm Pkwy
Birmingham, AL 35209-7181
Phone (205) 943-4650

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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

Enrollment IDStateProvider typePAC IDDetails
I20101109000984 AL Practitioner - Optometry 6507051125 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University Alabama Birmingham - School of Optometry, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tara Festa OD LLCGroup PAC ID 1759803463, 2 clinicians

Practice addresses (Care Compare)

1261 Hillcrest Rd
Suite E
Mobile, AL 36695-4027
Phone (251) 634-9928

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SC26TA845ALMDOptometrist
2009020664MOMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Optical Dimensions CurrentSince Nov 2, 2019 Accepting new patients
Tara Festa OD LLC Optometrist CurrentSince Mar 16, 2025 Accepting new patients
Hillcrest Optical Inc. PastSince Mar 16, 2025 Accepting new patients

Locations

1261 Hillcrest Rd
Ste E
Mobile, AL 36695
Phone (251) 634-9928

3063 Dauphin St
Mobile, AL 36606
Phone (251) 473-4003

6750 Airport Blvd
Ste A
Mobile, AL 36608
Phone (251) 342-1223

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1248393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479686400000",
    "number": "1508096512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 STATE FARM PKWY",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352097181",
            "telephone_number": "205-943-4650",
            "fax_number": "205-943-4688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3290 DAUPHIN ST.",
            "address_2": "SUITE 401",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366064053",
            "telephone_number": "251-471-3309",
            "fax_number": "251-471-5046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FESTA",
        "first_name": "TARA",
        "middle_name": "SMITH",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-24",
        "last_updated": "2016-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "2009020664",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "SC26TA845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

Verify at the official NPI Registry.