Tassi, Douglas D.

Tassi, Douglas D. is an individual health care provider with primary practice located at 2501 W 22Nd St , Sioux Falls SD 57105-1305. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Tassi, Douglas D. can be contacted via phone (605) 336-3230.

Contact Information

Primary practice address
2501 W 22Nd St Sioux Falls SD 57105-1305
Phone: (605) 336-3230
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 1655 Iowa
Eye and Vision Services Providers / Optometrist 152W00000X 649 South Dakota
Eye and Vision Services Providers / Optometrist 152W00000X T03000 Missouri
Eye and Vision Services Providers / Optometrist 152W00000X 1131 Nebraska

Profile Details

NPI number 1306840111
LBN Legal business name Tassi, Douglas D.
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2005
Last updated Sep 4th, 2008 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306840111 NPPES
Minnesota MEDICAID 298638800
Minnesota MEDICAID 5119065
Minnesota MEDICAID 10025032100
Minnesota MEDICAID 46044447400
Minnesota MEDICAID 9200750
Minnesota MEDICAID 9200754
Minnesota MEDICAID 9200752
Minnesota MEDICAID 9200753
Minnesota MEDICAID 3119065

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