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Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum Sole proprietor

Dr. Scott Tashiro Tisdale, O.D.

Optometrist in Woodbury, NY · enumerated 2008.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1255594453

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Registry record

Entity type Individual (Type 1)
Name Dr. Scott Tashiro Tisdale
Credential O.D.
Sex Male
Practice address Woodbury, NY, 11797
Enumeration date Jul 8, 2008
Last updated in NPPES Apr 8, 2016

Street address withheld: NPPES sole-proprietor addresses can be home addresses. See our data policy.

Taxonomy & licenses

152W00000X Optometrist Eye and Vision Services Providers · License TUV007268 (NY) Primary
OD · Doctor of Optometry: A licensed optometrist providing primary vision care, eye exams, and corrective lenses. About the OD credential

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where does Scott Tisdale practice?
The practice location on file with NPPES is in Woodbury, NY. Providers can have multiple locations; NPPES lists the primary practice address.
What is the NPI number for Scott Tisdale?
The National Provider Identifier (NPI) for Scott Tisdale is 1255594453, a Type 1 (individual) record in the CMS NPPES registry.

Other providers at this practice address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2016-04-08.