Individual provider · Type 1 NPI
Ralph Robert Tisdale, OPHTHALMIC DISPENSER
Contact Lens Fitter · Seaford, NY
NPI number
1992903322
Active
Practice location
3844 Sunrise Hwy
Seaford, NY 11783-2634
Fax (516) 781-4060
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Contact Lens Fitter Primary | 156FC0801X | C003643-1 (NY) |
Contact Lens Fitter: An optician or other ancillary support staff person who, where authorized by state law and trained or certified to do so, may fit or dispense contact lenses to a patient based on the prescription of an optometrist or medical physician.
Another provider at this address
About NPI 1992903322
Ralph Robert Tisdale, OPHTHALMIC DISPENSER's National Provider Identifier is 1992903322, issued on Jul 6, 2007. The primary taxonomy on file is Contact Lens Fitter (156FC0801X), and the practice location is in Seaford, NY. The record was last updated on Feb 18, 2009.