Individual
RICHARD THOMAS TABELING JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
7625 DOERING DR, FLORENCE, KY 41042
(859) 282-0881
Mailing address
1253 VIOLA LN, ERLANGER, KY 41018
(859) 342-5357
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1246DT
KY
152W00000X
Optometrist
4626
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2642591
—
OH
Enumeration date
07/03/2006
Last updated
07/08/2007
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