Individual
SHAWN DAVID TUBIELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
711 LAWN AVE, SELLERSVILLE, PA 18960-1575
(215) 257-8053
(215) 257-2020
Mailing address
2661 RIVA RD STE 1030, ANNAPOLIS, MD 21401-7131
(570) 288-7405
(570) 288-7406
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
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