DR. SCOTT TASHIRO TISDALE O.D.
NPI 1255594453
Optometrist in Woodbury, NY

Q: What is Scott Tisdale's NPI number?

The NPI number for Scott Tisdale is 1255594453. It was assigned to this individual provider in the NPPES registry on July 8, 2008.

Q: What is Scott Tisdale's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Q: When was this NPI record last updated?

The NPPES record for Scott Tisdale was last updated on April 8, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 08, 2008PECOS Enrolled

8565 JERICHO TPKE, WOODBURY, NY 11797(516) 367-3400 Get Directions Write a Review

NPPES record last updated: April 8, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Scott Tashiro Tisdale O.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SCOTT TASHIRO TISDALE O.D. (NPI 1255594453) is an individual optometrist in Woodbury, New York, licensed in New York (TUV007268) and active in the NPI registry since July 2008. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1255594453

Entity TypeIndividualMale

Primary Taxonomy152W00000X

Provider Legal NameDR. SCOTT TASHIRO TISDALECredential: O.D.

Location Address8565 JERICHO TPKEWoodbury, NY 11797-1804

Mailing Address155e 38th St 6lNew York, NY 10016-2675 · (516) 457-0757

Phone(516) 367-3400

Sole ProprietorYes

Enumeration DateJuly 8, 2008

Last NPPES UpdateApril 8, 2016

✔ NPI 1255594453 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

License✔ Licensed in NY · TUV007268

Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

8565 JERICHO TPKE, Woodbury, NY 11797

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Scott Tashiro Tisdale O.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Extended exam of the back part of the eye with optic nerve drawing 92202

This procedure involves a detailed examination of the back part of your eye, focusing on the optic nerve, a crucial component for vision. A drawing or map of the optic nerve is created to help track any changes over time. This can help detect eye diseases early.

142 services127 patients

Established patient complete exam of visual system 92014

An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.

95 services83 patients

New patient complete exam of visual system 92004

A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.

51 services51 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11797 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$154.28 typical visit price

range $67.40 – $203.53

Typical copayment $38.57 (range $16.85 – $50.88)

Most-billed visit code 99204

Established Patient

$83.44 typical visit price

range $21.66 – $164.45

Typical copayment $20.86 (range $5.41 – $41.11)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ROBERT COURGI LLC

Internal Medicine (Endocrinology, Diabetes & Metabolism)

8565 JERICHO TPKE
WOODBURY, NY 11797

Nassau County (917) 913-9993

MRS. YOLANDA MICHINSKI LPN

Nurse Practitioner

8565 JERICHO TPKE
WOODBURY, NY 11797

Nassau County (516) 367-3400

KATIUSHA GASTON

Licensed Practical Nurse

8565 JERICHO TPKE
WOODBURY, NY 11797

Nassau County (516) 367-3400

WHITE OAKS REHABILITATION AND NURSING CENTER

Skilled Nursing Facility

8565 JERICHO TPKE
WOODBURY, NY 11797

Nassau County (516) 367-3400

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Scott Tisdale's NPI number?

The NPI number for Scott Tisdale is 1255594453. It was assigned to this individual provider in the NPPES registry on July 8, 2008.

Where is Scott Tisdale located?

Scott Tisdale practices at 8565 Jericho Tpke, Woodbury, NY 11797. The listed phone number is (516) 367-3400.

What is Scott Tisdale's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Scott Tisdale enrolled in Medicare?

Yes. Scott Tisdale is registered in the Medicare PECOS enrollment system.

What insurance does Scott Tisdale accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 1 other insurer list Scott Tisdale as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Scott Tisdale was last updated on April 8, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.