Sierra Tisdelle, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT.2488 Issued in SC

Practice address

6439 Garners Ferry Rd
Columbia, SC 29209-1638

Phone

(803) 776-4000

NPI assigned

May 23, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Indiana University - School of Optometry, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Virginia Eye Consultants IncGroup PAC ID 6608860978, 57 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: sierra.tisdelle.p1@direct.vec.nextgenshare.com
• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Virginia Eye Consultants Inc

  • Ophthalmology Physician
  • Norfolk, VA
  • NPI 1992727820

  Optometrist

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1716422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742860800000",
    "number": "1285473702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8913 LONDON ST",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235033813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6439 GARNERS FERRY RD",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292091638",
            "telephone_number": "803-776-4000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1788 Republic Rd",
            "address_purpose": "LOCATION",
            "city": "Virginia Beach",
            "state": "VA",
            "postal_code": "234544552",
            "country_code": "US",
            "telephone_number": "757-483-0400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "465 N Great Neck Rd",
            "address_purpose": "LOCATION",
            "city": "Virginia Beach",
            "state": "VA",
            "postal_code": "234544064",
            "country_code": "US",
            "telephone_number": "757-622-2200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2020 General Booth Blvd",
            "address_purpose": "LOCATION",
            "city": "Virginia Beach",
            "state": "VA",
            "postal_code": "234545875",
            "country_code": "US",
            "telephone_number": "757-622-2200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2463 Pruden Blvd",
            "address_purpose": "LOCATION",
            "city": "Suffolk",
            "state": "VA",
            "postal_code": "234344235",
            "country_code": "US",
            "telephone_number": "757-622-2200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3235 Academy Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "Portsmouth",
            "state": "VA",
            "postal_code": "237033200",
            "country_code": "US",
            "telephone_number": "757-483-0400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2234 Cunningham Dr",
            "address_purpose": "LOCATION",
            "city": "Hampton",
            "state": "VA",
            "postal_code": "236662555",
            "country_code": "US",
            "telephone_number": "757-622-2200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "805 Battlefield Blvd N Ste 111",
            "address_purpose": "LOCATION",
            "city": "Chesapeake",
            "state": "VA",
            "postal_code": "233204878",
            "country_code": "US",
            "telephone_number": "757-622-2200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "241 Corporate Blvd Ste 210",
            "address_purpose": "LOCATION",
            "city": "Norfolk",
            "state": "VA",
            "postal_code": "235024965",
            "country_code": "US",
            "telephone_number": "757-622-2200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TISDELLE",
        "first_name": "SIERRA",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-23",
        "last_updated": "2025-03-25",
        "certification_date": "2025-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618003472",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SC",
            "license": "OPT.2488",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kylie Tindal, BSW
• Alexis M Tippmann, LMSW
• Rebecca Tirpak, PHARM.D
• Arie Tisdale
• Ashton Doby Tisdale, LISW-CP, LAC, AADC
• TJ Housing, LLC
• TLM Medical Services, LLC
• Markiya Toatley - Garcia, RBT
• Angela Denise Tobe Estrada
• William Henry Tobener V

• Optometrist in Columbia, SC
• Providers in Columbia, SC by specialty
• Optometrist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.