Individual
DR. FAUSTA TABE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
7135 STAPLES MILL RD, RICHMOND, VA 23228-4104
(804) 264-7095
(804) 264-7097
Mailing address
7135 STAPLES MILL RD, RICHMOND, VA 23228-4104
(804) 264-7095
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618002183
VA
152W00000X
Optometrist
27OA00644800
NJ
152W00000X
Optometrist
27OM00111400
NJ
152W00000X
Optometrist
TA2324
MD
Other
Enumeration date
01/24/2013
Last updated
05/21/2020
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