National Provider Identifier

Tamara Stockwin, OD

Tamara Stockwin, OD is listed in the NPPES registry with a primary specialty of Optometrist in Ithaca, NY and a listed phone number of (607) 257-5599.

NPI 1043326424Ithaca, NYOptometrist

Profile Overview

NPI
1043326424
Provider Type
Individual
Primary Specialty
Optometrist
Enumeration Date
August 21, 2006
Last Updated
July 08, 2007

Practice Location

  • 10 Brentwood Dr
  • Suite A
  • Ithaca, NY 14850-1865

Phone: (607) 257-5599

Specialties

  • Optometrist (152W00000X)
Full Record
NPI
1043326424
Entity Type
Individual
Last Name
Stockwin
First Name
Tamara
Credential
OD
Mailing Street Address
10 Brentwood Dr
Mailing Address Line 2
Suite A
Mailing City
Ithaca
Mailing State
NY
Mailing ZIP Code
14850-1865
Mailing Country
US
Mailing Phone
(607) 257-5599
Mailing Fax
(607) 257-3972
Practice Street Address
10 Brentwood Dr
Practice Address Line 2
Suite A
Practice City
Ithaca
Practice State
NY
Practice ZIP Code
14850-1865
Practice Country
US
Practice Phone
(607) 257-5599
Practice Fax
(607) 257-3972
Enumeration Date
August 21, 2006
Last Updated
July 08, 2007
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Optometrist (152W00000X)
Other Identifiers
02566012 (NY)