Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Tiffany Maria Beasley, LDO

Individual provider Optician · NPI 1093396186

Tiffany Maria Beasley, LDO is an Optician in Louisville, Kentucky. Licensed in Kentucky. Registered with an NPI since 2021.

Licensed in
KY
In the registry since
2021

Practice location Address checks out

4917 Dixie Hwy Ste H
Louisville, KY 40216-2565
Phone: (502) 447-2020
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optician (primary) Taxonomy 156FX1800X · Licence 111351 (KY)

Record details

NPI number1093396186
Entity typeIndividual (Type 1)
GenderFemale
Credentials LDO
Sole proprietorNo
NPI enumeratedApril 20, 2021
Last updated in NPPESApril 20, 2021
Certification dateApril 20, 2021

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