Jimmy D Smart (NPI# 1114983897, PAC ID# 6305876921) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1114983897 |
| PAC ID by PECOS | 6305876921 |
| Professional Enrollment ID | I20060131000074 |
| Full Name | Jimmy D Smart |
| Organization Legal Name | PAUL C. TISDAL,O.D.,P.C. |
| Address |
1545 N Washington Weatherford Eyecare Center Weatherford OK 73096-0308 |
| Phone Number | 5807722819 |
| Gender | M |
| Credential | OD |
| Medical School | UNIVERSITY OF MISSOURI ST LOUIS - SCHOOL OF OPTOMETRY |
| Graduation Year | 2005 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 0749305928 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1545 N Washington, Weatherford Eyecare Center, Weatherford, OK 73096-0308 | 5807722819 | PAUL C. TISDAL,O.D.,P.C. |
| 1009 Texas St, Woodward, OK 73801-3127 | 5802548020 | FREDERICK EYE CARE PLLC |
| Organization Legal Name | PAUL C. TISDAL,O.D.,P.C. |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Paul C Tisdal | Optometry | Paul C. Tisdal,o.d.,p.c. | 1545 N Washington, Weatherford Eyecare Center, Weatherford, OK 73096-0308 |
| Street Address |
1545 N WASHINGTON WEATHERFORD EYECARE CENTER |
| City | WEATHERFORD |
| State | OK |
| Zip | 73096-0308 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Paul C Tisdal | Optometry | Paul C. Tisdal,o.d.,p.c. | 1545 N Washington, Weatherford Eyecare Center, Weatherford, OK 73096-0308 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Russell L Hanan | General Surgery | Russell L Hanan M D Inc | 213 N Illinois, Weatherford, OK 73096 |
| Rubi Ann Litteral | Nurse Practitioner | Williams Medical Group Practice LLC | 1303 N Washington St, Weatherford, OK 73096-2443 |
| Brian L Bluth | Family Medicine | Bluth Family Medicine, LLC | 1315 N Washington St, Weatherford, OK 73096-2443 |
| Tamara Jo Grabeal | Nurse Practitioner | Bluth Family Medicine, LLC | 1315 N Washington St, Weatherford, OK 73096-2443 |
| Debra M Murray | Nurse Practitioner | Bluth Family Medicine, LLC | 1315 N Washington St, Weatherford, OK 73096-2443 |
| N Devonna A Belle | Physician Assistant | Xpress Wellness LLC | 1303 N Washington St, Weatherford, OK 73096-2443 |
| Sean K George | Physician Assistant | Xpress Wellness LLC | 1303 N Washington St, Weatherford, OK 73096-2443 |
| Jana Nikole Morris | Physician Assistant | Xpress Wellness LLC | 1303 N Washington St, Weatherford, OK 73096-2443 |
| Heather Anne Alcorn | Physician Assistant | Xpress Wellness LLC | 1303 N Washington St, Weatherford, OK 73096-2443 |
| Theresa Adams | Qualified Audiologist | 1745 N Washington St, Weatherford, OK 73096-2554 | |
| Find all physicians in zip 73096 | |||
| City | WEATHERFORD |
| Zip Code | 73096 |
| Specialty | OPTOMETRY |
| City + Specialty | WEATHERFORD + OPTOMETRY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.