Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. RALPH ROBERT TISDALE, OPHTHALMIC DISPENSER
Active Sole ProprietorContact Lens Fitter · SEAFORD, NY
Registration Details
- NPI Number
- 1992903322
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 6, 2007 (18.79637985439 yrs)
- Last Updated
- Feb 18, 2009
- License
-
C003643-1 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3844 SUNRISE HWYSEAFORD, NY, 117832634Browse NY providers · Browse ZIP 11783
- Phone
- 5167814444
- Fax
- 5167814060
- Primary Specialty
-
Contact Lens Fitter
156FC0801X
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.