MEDICARE: DR. DAVID S. TABELING, O.D. & ASSOCIATES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152WC0802X	Corneal and Contact Management Optometrist	OH4882	OH

General Provider Information

NPI Number	:	1063614071
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DR. DAVID S. TABELING, O.D. & ASSOCIATES

Provider Business Mailing Address
First Line	:	7426 BEECHMONT AVE
Second Line	:	SUITE 209
City	:	CINCINNATI
State	:	OH
Zip	:	45255-4104
Country	:	US
Telephone Number	:	513-232-2230
Fax Number	:	513-232-2245

Provider Business Practice Location Address
First Line	:	7426 BEECHMONT AVE
Second Line	:	SUITE 209
City	:	CINCINNATI
State	:	OH
Zip	:	45255-4104
Country	:	US
Telephone Number	:	513-232-2230
Fax Number	:	513-232-2245

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	MRS. HEATHER D RICHMOND
Credential	:
Telephone Number	:	513-232-2230

Provider Enumeration Date	:	06/01/2007
Last Update Date	:	11/16/2007

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