Weatherford Eyecare Center, PLLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

1046 Issued in OK

Legal business name

WEATHERFORD EYECARE CENTER, PLLC

Practice address

1545 N Washington St
Weatherford, OK 73096-2518

Phone

(580) 772-2819

Fax

(580) 772-2805

NPI assigned

Oct 30, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jimmy D SmartNPI 1114983897

Title

Owner

Phone

(580) 772-2819

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 2

• Weatherford Eyecare Center Doing business as
• Weatherford Eyecare Center, PLLC Former legal business name

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jimmy D Smart, OD

  • Optometrist
  • Woodward, OK
  • NPI 1114983897
  Medicare reassignment Care Compare group NPD Authorized official
• Cooper Free, OD

  • Optometrist
  • Woodward, OK
  • NPI 1134800071
  Medicare reassignment Care Compare group NPD
• Paul C. Tisdal, O.D.

  • Optometrist
  • Weatherford, OK
  • NPI 1760430938
  Medicare reassignment Care Compare group NPD
• Jason Matthew Myers, O.D.

  • Optometrist
  • Yukon, OK
  • NPI 1427319508
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1193702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759881600000",
    "number": "1154500890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1545 N WASHINGTON ST",
            "address_2": "P.O. BOX 308",
            "city": "WEATHERFORD",
            "state": "OK",
            "postal_code": "730962518",
            "telephone_number": "580-772-2819",
            "fax_number": "580-772-2805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1545 N WASHINGTON ST",
            "city": "WEATHERFORD",
            "state": "OK",
            "postal_code": "730962518",
            "telephone_number": "580-772-2819",
            "fax_number": "580-772-2805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEATHERFORD EYECARE CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-30",
        "last_updated": "2025-10-08",
        "certification_date": "2025-10-08",
        "status": "A",
        "authorized_official_last_name": "SMART",
        "authorized_official_first_name": "JIMMY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "580-772-2819"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "OK",
            "license": "1046",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200721070A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Weatherford Eyecare Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Weatherford Eyecare Center, PLLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Aidan Bryce Warner
• Tayler Renee Warren
• Dorothy Yvonne Weaselbear, LPN
• Weatherford Dental Care PLLC
• Weatherford Dentistry & Braces
• Weatherford Family Practice Medical Center PLLC
• Weatherford Health Services, LLC
• Weatherford Hospial Authority
• Weatherford Hospital Authority
• Weatherford Hospital Authority

• Primary Care Clinic/Center in Weatherford, OK
• Providers in Weatherford, OK by specialty
• Primary Care Clinic/Center in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.