Ralph Robert Tisdale in Seaford - Contact Lens Fitter

Ralph Robert Tisdale - NPI 1992903322

Ralph Robert Tisdale is a Contact Lens Fitter in Seaford, New York. Ralph Robert Tisdale practices all healthcare services and medical treatments related to Contact Lens Fitter. The NPI Number for Ralph Robert Tisdale is 1992903322. The last update date is 2009-02-18.

Ralph Robert Tisdale's current location address is 3844 Sunrise Hwy, Seaford, New York. You can contact this provider via phone number 5167814444 and fax number 5167814060. The mailing address for Ralph Robert Tisdale is 3844 Sunrise Hwy, Seaford, New York. To know further, please read the information below!

Provider Profile Detail

Provider Name Ralph Robert Tisdale
Address 3844 Sunrise Hwy, Seaford, New York
Phone Number 5167814444
Fax Number 5167814060
Sole Proprietor Y
Credentials OPHTHALMIC

NPI Number Detail

NPI Number 1992903322
Provider Enumeration Date 2007-07-06
Last Updated Date 2009-02-18

Provider Mailing Address Detail

Address 3844 Sunrise Hwy
City Seaford
State New York (NY)
Post Code 117832634
Phone Number 5167814444
Fax Number 5167814060

Provider's Primary Taxonomy Detail

Speciality Contact Lens Fitter
Taxonomy 156Fc0801X
Licence No C003643-1
Definition:
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.

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FAQs about Ralph Robert Tisdale

What is the unique 10-digit identification code issued to Ralph Robert Tisdale by the Centers for Medicare & Medicaid Services?

The Ralph Robert Tisdale has been assigned the NPI (National Provider Identifier) 1992903322 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you kindly provide the complete physical address where Ralph Robert Tisdale's facilities are geographically located?

The facilities of Ralph Robert Tisdale are physically situated at the following location: 3844 Sunrise Hwy, Seaford, NY, 117832634.

What is Ralph Robert Tisdale's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Ralph Robert Tisdale's specialized field of practice is Contact Lens Fitter, and the corresponding taxonomy code that categorizes this area of specialization is 156Fc0801X.

On what date did the Ralph Robert Tisdale receive the assignment of its 1992903322 from the Centers for Medicare & Medicaid Services?

The Ralph Robert Tisdale was issued its 1992903322 by the Centers for Medicare & Medicaid Services on 2007-07-06.

As of what date was the information pertaining to Ralph Robert Tisdale, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Ralph Robert Tisdale, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2009-02-18.

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