Individual
DR. DOUGLAS D. TASSI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
2501 W 22ND ST, SIOUX FALLS, SD 57105-1305
(605) 336-3230
Mailing address
2501 W 22ND ST, SIOUX FALLS, SD 57105-1305
(605) 336-3230
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
1131
NE
152W00000X
Optometrist
1655
IA
152W00000X
Optometrist
Primary
649
SD
152W00000X
Optometrist
T03000
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025032100
—
NE
05
—
298638800
—
MN
05
—
3119065
—
IA
05
—
46044447400
—
NE
05
—
5119065
—
IA
05
—
9200750
—
SD
05
—
9200752
—
SD
05
—
9200753
—
SD
05
—
9200754
—
SD
Enumeration date
06/09/2005
Last updated
09/04/2008
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