# ALEJANDRO M TIRADO OD PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1346483302
- **Authorized official:** LESLIE MCNEIL (OFFICE MANAGER)
- **Authorized official phone:** (904) 241-3162

## Contact information

- **Practice address:** 1524 3RD ST N, JACKSONVILLE, FL 32250-7352
- **Practice address phone:** (904) 241-3162
- **Practice address fax:** (904) 249-7190
- **Mailing address:** 1524 3RD ST N, JACKSONVILLE, FL 32250-7352
- **Mailing address phone:** (904) 241-3162
- **Mailing address fax:** (904) 249-7190

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | OPC2566 | FL | Yes |

## Other

- **Enumeration date:** 04/07/2009
- **Last updated:** 02/16/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1285700252 | INDIVIDUAL NPI | FL |