Individual
DR. BRANDON JAY TISH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
100 N 4TH AVE W, NEWTON, IA 50208-3103
(641) 792-7900
Mailing address
155 N 35TH AVE W, NEWTON, IA 50208-8637
(641) 792-7900
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
091958
IA
Other
Enumeration date
06/12/2018
Last updated
03/12/2019
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