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General NPI Number Information
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NPI Number | 1033128145
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Entity Type | Individual
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Provider Name | STEVEN PAUL DOUGLAS TITTL O.D.
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Gender | Male
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Dates
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Enumeration Date | 08/07/2006
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Last Update Date | 07/18/2023
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Provider Practice Location Address
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Address Line | 1000 WEST AVE
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City | MIAMI BEACH
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State | FL
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Zip | 33139-4759
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Country | US
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Telephone | 888-401-4884
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Fax | 888-401-4884
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Provider Business Mailing Address
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Address Line | 34380 GLEN DR
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City | EASTLAKE
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State | OH
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Zip | 44095-2610
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Country | US
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Telephone | 617-549-9744
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 4238
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | OPT.006835
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | OD5494
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License Number State | AK
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Taxonomy #4
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | OPC5988
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License Number State | FL
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