IndividualActive
Ralph Tisdale, OPHTHALMIC DISPENSER
NPI 1992903322 · Contact Lens Fitter · Seaford, NY
Provider details
- NPI number
- 1992903322
- Entity type
- Individual
- Primary specialty
- Contact Lens FitterEye and Vision Services Providers
- Credential
- OPHTHALMIC DISPENSER
- Sex
- Male
- Sole proprietor
- Yes
- License
- C003643-1 (NY)
Practice location
3844 Sunrise Hwy
Seaford, NY 11783-2634
Phone: (516) 781-4444
Fax: (516) 781-4060
Mailing address
3844 Sunrise Hwy
Seaford, NY 11783-2634
Registry dates
- Enumerated
- 2007-07-06
- Last updated
- 2009-02-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.