DR. PAUL C. TISDAL (NPI# 1760430938) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760430938 |
| Entity Type | Individual |
| Full Name | DR. PAUL C. TISDAL |
| Credential | O.D. |
| Practice Address |
1545 N. Washington Weatherford OK 73096-0308 |
| Mailing Address |
1545 N Washington St Weatherford OK 73096-2518 |
| Practice Telephone | 5807722819 |
| Practice Fax Number | 5807722805 |
| Mailing Telephone | 5807722819 |
| Mailing Fax Number | 5807722805 |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2008-03-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 1016 | OK | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 200069320 | 05 |
| Street Address |
1545 N. WASHINGTON |
| City | WEATHERFORD |
| State | OK |
| Zip Code | 73096-0308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316433170 | Weatherford Hospital Authority | Clinic/Center | 1315 N Washington, Weatherford, OK 73096 | 2018-07-05 |
| 1174030530 | Lacey Bailey | Case Manager/Care Coordinator | 101 E University Dr Apt B2, Weatherford, OK 73096 | 2018-01-08 |
| 1972962066 | Shayli Hill | Physical Therapist | 3730 Legacy Dr, Weatherford, OK 73096 | 2016-02-17 |
| 1396144622 | Xpress Wellness LLC | Family Medicine | 1303 N Washington, Weatherford, OK 73096 | 2014-08-22 |
| 1881942654 | Weatherford Dental Care Pllc | Dentist | 1325 N. Washington Street, Weatherford, OK 73096 | 2012-08-27 |
| 1326352204 | Weatherford Hospital Authority | General Acute Care Hospital | 3727 Legacy, Weatherford, OK 73096 | 2010-08-03 |
| 1316148505 | Janet Vega | Case Manager/Care Coordinator | 1413 Kase St Apt. 1, Weatherford, OK 73096 | 2007-05-29 |
| 1326259797 | Amy Michelle Estes IIi | Case Manager/Care Coordinator | 90 North 31st., Clinton, OK 73096 | 2007-05-25 |
| 1427260256 | Paul C. Tisdal, O.d., P.C. | Optometrist | 1545 N. Washington Ave, Weatherford, OK 73096 | 2007-05-04 |
| 1386786663 | William W Uraneck | Dentist | 617 E Tom Stafford, Weatherford, OK 73096 | 2007-02-13 |
| Find all providers in zip 73096 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841522695 | Dr. Arlyn R. Fansler, Optometrist, Inc | Optometrist | 621 E Tom Stafford St, Weatherford, OK 73096-5431 | 2010-02-04 |
| 1427260256 | Paul C. Tisdal, O.d., P.C. | Optometrist | 1545 N. Washington Ave, Weatherford, OK 73096 | 2007-05-04 |
| 1083758833 | Stephen Gregory Lanier | Optometrist | 150 College Park Dr, Weatherford, TX 76086-6212 | 2007-02-16 |
| 1043389125 | Arlyn Ralph Fansler | Optometrist | 621 East Tom Stafford Street, Weatherford, OK 73096 | 2006-11-06 |
| 1891730131 | Joseph Bakowski | Optometrist | 1836 S Main St, Suite 101, Weatherford, TX 76086-5561 | 2006-06-19 |
| 1174567234 | Ira Herman | Optometrist | 215 Adams Dr Ste 201, Weatherford, TX 76086-6739 | 2006-06-16 |
| 1851396873 | Dwight Charles Shreck | Optometrist | 500 N Washington Ave. Box 829, Weatherford, OK 73096-0829 | 2005-06-16 |
| 1750844858 | National Vision Inc | Optometrist | 1940 S Main St, Weatherford, TX 76086-5508 | 2019-04-08 |
| 1538600150 | Joseph Bakowski Optometrist Pllc | Optometrist | 1836 S Main St, Ste 101, Weatherford, TX 76086-5506 | 2017-03-15 |
| 1891935888 | Dwight C Shreck Od | Optometrist | 500 N Washington St, Weatherford, OK 73096-5700 | 2009-03-03 |
| Find all providers in WEATHERFORD | ||||
| City | WEATHERFORD |
| Zip Code | 73096 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.