Individual
SHAWN DAVID TUBIELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG000246
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00120980
RAILROAD MEDICARE
PA
Enumeration date
08/05/2006
Last updated
05/15/2026
Update your record
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