IndividualActive
Brandon Tish, OD
NPI 1417440645 · Optometrist · Newton, IA
Provider details
- NPI number
- 1417440645
- Entity type
- Individual
- Primary specialty
- OptometristEye and Vision Services Providers
- Credential
- OD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 091958 (IA)
Specialties & taxonomies
Eye and Vision Services Providers
Practice location
100 N 4th Ave W
Newton, IA 50208-3103
Phone: (641) 792-7900
Approximate (ZIP-level) locationGet directions
Mailing address
155 N 35th Ave W
Newton, IA 50208-8637
Registry dates
- Enumerated
- 2018-06-12
- Last updated
- 2019-03-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.