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Contact Information

PAUL C. TISDAL, O.D., P.C.
1545 N. WASHINGTON AVE
WEATHERFORD, OK73096
 Phone: 158-072-2819
 Fax: 158-077-2280
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for PAUL C TISDAL OD PC · (Female)

NPI Number 1427260256
Status Active
Credentials
Entity Individual
Enumeration date 05/04/2007
Last updated 08/22/2020 - About 6 years ago
Sole proprietor 1 Not specified
Identifiers
  • OK License # 1016
  • OK Other 1760430938 NPI TYPE 1
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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