Tisdale, Scott Tashiro

Tisdale, Scott Tashiro is an sole proprietor health care provider with primary practice located at 8565 Jericho Tpke , Woodbury NY 11797-1804. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Tisdale, Scott Tashiro can be contacted via phone (516) 367-3400.

Contact Information

Primary practice address
8565 Jericho Tpke Woodbury NY 11797-1804
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X TUV007268 New York

Profile Details

NPI number 1255594453
LBN Legal business name Tisdale, Scott Tashiro
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 8th, 2008
Last updated Apr 8th, 2016 - about 8 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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