Individual
MR. DAVID THOMAS TISCHINSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
6080 N. OAK, OAKVIEW MEDICAL BUILDING, GLADSTONE, MO 64118
(816) 454-2020
(816) 453-2659
Mailing address
2441 NW PRAIRIE VIEW RD, PLATTE CITY, MO 64079
(816) 858-2522
(816) 858-2946
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2002017827
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
316013606
—
MO
Enumeration date
11/21/2005
Last updated
08/09/2011
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