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Mr. Ralph Robert Tisdale, OPHTHALMICDISPENSER
Contact Lens Fitter in Seaford, New York
NPI 1992903322

Ralph Robert Tisdale is a Contact Lens Fitter based in Seaford, NY and is specialized in Contact Lens Fitter. Ralph Robert Tisdale practices in Seaford, NY and has the professional credentials of OPHTHALMICDISPENSER. The NPI Number for Ralph Robert Tisdale is 1992903322 and holds a License No. C003643-1 (New York).

The current practice location address for Ralph Robert Tisdale is 3844 Sunrise Hwy, Seaford, NY and can be reached out via phone at 516-781-4444 and via fax at 516-781-4060.

Location: 3844 Sunrise Hwy, Seaford, NY, 11783-2634
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1992903322
Provider Name
Ralph Robert Tisdale
Credential
OPHTHALMICDISPENSER
Provider Entity Type
Individual
Gender
Male
Address
3844 Sunrise Hwy, Seaford, NY, 11783-2634
Phone Number
516-781-4444
Fax Number
516-781-4060
Provider Enumeration Date
07/06/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3844 Sunrise Hwy
City
Seaford
State
New York
Zip
11783-2634
Phone Number
516-781-4444
Fax Number
516-781-4060
person
Provider Business Mailing Address Details
Address
3844 Sunrise Hwy
City
Seaford
State
New York
Zip
11783-2634
Phone Number
516-781-4444
Fax Number
516-781-4060
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Contact Lens Fitter
Taxonomy
156FC0801X
License No.
C003643-1 (New York)
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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