Organization Active NPI

Tara Festa OD LLC

Doing business as Hillcrest Optical

  • Optometrist
  • Mobile, AL
National Provider Identifier
1962208439
Registry record updated Mar 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
TARA FESTA OD LLC
Doing business as
Hillcrest Optical
Practice address
1261 Hillcrest Rd Ste E
Mobile, AL 36695-4027
Phone
(251) 634-9928
NPI assigned
Feb 24, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2025

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

Authorized official

Name
Dr. Tara Smith Festa, ODNPI 1508096512
Title
Member
Phone
(228) 990-0592

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

1261 Hillcrest Rd Ste E
Mobile, AL 36695-4027

Mailing address

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

Other names 1

  • Hillcrest Optical Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250321001823 AL Part B Supplier - Clinic/Group Practice 1759803463 Receives reassigned benefits from 2 practitioners
Practice locations: Mobile, AL

National Provider Directory

National Provider Directory

Locations

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

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1740355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742083200000",
    "number": "1962208439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1261 HILLCREST RD STE E",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366954027",
            "telephone_number": "251-634-9928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1261 HILLCREST RD STE E",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366954027",
            "telephone_number": "251-634-9928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TARA FESTA OD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-24",
        "last_updated": "2025-03-16",
        "certification_date": "2025-03-16",
        "status": "A",
        "authorized_official_last_name": "FESTA",
        "authorized_official_first_name": "TARA",
        "authorized_official_middle_name": "SMITH",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "228-990-0592",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hillcrest Optical",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Hillcrest Optical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mobile, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2025; 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.