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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, O.D., P.C.

NPI Number 1427260256
LBN Legal business name PAUL C. TISDAL, O.D., P.C.
Authorized official PAUL TISDAL - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 05/04/2007
Last updated 08/22/2020 - About 6 years ago
Identifiers
OK License # 1016
OK Other 1760430938 NPI TYPE 1
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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