Weatherford Eyecare Center | |
1545 N Washington St Weatherford OK 73096-2518 | |
(580) 772-2819 | |
(580) 772-2805 |
Full Name | Weatherford Eyecare Center |
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Speciality | Clinic/Center |
Location | 1545 N Washington St, Weatherford, Oklahoma |
Authorized Official Name and Position | Paul C Tisdal (OWNER) |
Authorized Official Contact | 5807722819 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Weatherford Eyecare Center 1545 N Washington St P.o. Box 308 Weatherford OK 73096-2518 Ph: (580) 772-2819 | Weatherford Eyecare Center 1545 N Washington St Weatherford OK 73096-2518 Ph: (580) 772-2819 |
NPI Number | 1154500890 |
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Provider Enumeration Date | 10/30/2007 |
Last Update Date | 05/25/2022 |
Medicare PECOS PAC ID | 0749305928 |
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Medicare Enrollment ID | O20100910000831 |
Identifier | Type | State | Issuer |
---|---|---|---|
1154500890 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | 1046 (Oklahoma) | Primary |
Provider Name | Jimmy D Smart |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1114983897 PECOS PAC ID: 6305876921 Enrollment ID: I20060131000074 |
Provider Name | Paul C Tisdal |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1760430938 PECOS PAC ID: 0648395822 Enrollment ID: I20100910000852 |
Provider Name | Cooper Free |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1134800071 PECOS PAC ID: 0446605687 Enrollment ID: I20231009002068 |
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Blake A Badgett Md Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3731 Legacy, Weatherford, OK 73096 Phone: 580-772-6777 Fax: 580-772-2510 |