MR. Ralph Robert Tisdale, OPHTHALMIC DISPENSER is a contact lens fitter technician technologist in Seaford, NY. The provider is a fitter contact lens 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. MR. Ralph Robert Tisdale, OPHTHALMIC DISPENSER NPI is 1992903322. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
3844 SUNRISE HWY
SEAFORD, NY
ZIP 11783-634
Phone: (516) 781-4444
Fax: (516) 781-4060
The enumeration date for this NPI number is 7/6/2007 and was last updated on 2/18/2009.