Organization Active NPI

T & T Eyecare LLC

  • Optometrist
  • Florence, KY
National Provider Identifier
1720153059
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1246DT Issued in KY
Legal business name
T & T EYECARE LLC
Practice address
7625 Doering Dr
Florence, KY 41042
Phone
(859) 282-0881
Fax
(513) 753-8499
NPI assigned
Nov 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Richard Thomas Tabeling Jr., OD
Title
Member LLC
Phone
(859) 342-5357

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X 1246DT KY Primary
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X 4326 OH

Addresses

Primary practice location

7625 Doering Dr
Florence, KY 41042

Mailing address

1253 Viola LN
Erlanger, KY 41018
Phone (859) 342-5357

Other identifiers 1

IdentifierTypeStateIssuer
2642591MedicaidOH

National Provider Directory

National Provider Directory

Locations

7625 Doering Dr
Florence, KY 41042
Phone (859) 282-0881

NPI Registry JSON

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1720153059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1253 VIOLA LN",
            "city": "ERLANGER",
            "state": "KY",
            "postal_code": "41018",
            "telephone_number": "859-342-5357",
            "fax_number": "873-753-8499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7625 DOERING DR",
            "city": "FLORENCE",
            "state": "KY",
            "postal_code": "41042",
            "telephone_number": "859-282-0881",
            "fax_number": "513-753-8499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "T & T EYECARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TABELING",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "MEMBER LLC",
        "authorized_official_telephone_number": "859-342-5357",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "KY",
            "license": "1246DT",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "OH",
            "license": "4326",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2642591",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.