Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. TABITHA G TEMPLE, O.D.
Deactivated Sole ProprietorDR. TABITHA G TEMPLE, O.D. is a Pediatric Optometrist healthcare provider located in WARSAW, Indiana. NPI 1710971924 is deactivated in the NPPES registry. Verify at CMS.
Pediatric Optometrist · WARSAW, IN
This NPI has been deactivated.
The record was deactivated on March 24, 2006.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1710971924
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 1, 2005 (0.55890410958904 yrs)
- Last Updated
- Apr 20, 2022
- Deactivated
- Mar 24, 2006
- License
-
18002882 (IN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2250 N POINTE DRWARSAW, IN, 465829042Browse IN providers · Browse ZIP 46582
- Phone
- 5742673515
- Fax
- 5742673259
- Primary Specialty
-
Pediatric Optometrist
152WP0200X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.