Whalio Doctors

NPI 1427260256

Paul C. Tisdal, O.D., P.C.

Organisation Optometrist Weatherford, OK

Practice location

Address
1545 N. Washington Ave, Weatherford, OK 73096
Phone
(158) 072-2819
Fax
(158) 077-2280
Mailing address
P.O. Box 308, Weatherford, OK 73096

Authorised official

Name
Paul Carroll Tisdal
Title
President
Phone
(580) 772-2819

Registered specialties

Optometrist Primary
Eye and Vision Services Providers Taxonomy 152W00000X Licence 1016 (OK)

Registry record

NPI
1427260256
Entity type
Organization
NPI issued
4 May 2007
Record last updated
22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.