Paul C. Tisdal, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1016 Issued in OK

Practice address

1545 N Washington St
Weatherford, OK 73096-2518

Phone

(580) 772-2819

Fax

(580) 772-2805

NPI assigned

May 4, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OK

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

Southern College of Optometry, 1981

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Weatherford Eyecare Center, PLLCGroup PAC ID 0749305928, 3 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

9.08 of 100Reported as individual

Quality

18.16

Improvement activities

0

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: pctisdal2@weatherfordeyecare.eyefinity-direct.com

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.

• Weatherford Eyecare Center, PLLC

  • Primary Care Clinic/Center
  • Weatherford, OK
  • NPI 1154500890

  Optometrist

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759276800000",
    "number": "1760430938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "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"
        },
        {
            "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": {
        "last_name": "TISDAL",
        "first_name": "PAUL",
        "middle_name": "C.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-04",
        "last_updated": "2025-10-01",
        "certification_date": "2025-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OK",
            "license": "1016",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200069320",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• The Kloset Corporation
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• Therapeutic Alternatives for Mental and Behavioral Health, PLLC
• Rachel Nicole Thompson
• Maycie Thomsen
• Jason Frank Tittle Jr.
• Ella Tolbert
• Brett Charles Tracy, MA LPC
• Paisley Trevino, APRN, FNP
• Trinity Hospice, LLC

• Optometrist in Weatherford, OK
• Providers in Weatherford, OK by specialty
• Optometrist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 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.