| Dr. James N. Tisdale, O.d., P.c. | |
|
114 Professional Park Dr, Victoria, TX 77904-2351 | |
| (361) 578-8441 | |
| (361) 578-8494 |
| Full Name | Dr. James N. Tisdale, O.d., P.c. |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 114 Professional Park Dr, Victoria, Texas |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407027212 | NPI | - | NPPES |
| DN6427 | Other | TX | THE RAILROAD RETIREMENT BOARD'S MEDICARE CARRIER |
| 0064QT | Other | TX | BC/BS |
| 440-56-97 | Other | TX | AETNA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 02309TG (Texas) | Primary |
| Provider Name | James N Tisdale |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1073622692 PECOS PAC ID: 6204900897 Enrollment ID: I20080730000636 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. James N. Tisdale, O.d., P.c. 114 Professional Park Dr, Victoria, TX 77904-2351 Ph: (361) 578-8441 | Dr. James N. Tisdale, O.d., P.c. 114 Professional Park Dr, Victoria, TX 77904-2351 Ph: (361) 578-8441 |
Jimmy Deng, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 8306 N Navarro St Ste B, Victoria, TX 77904 Phone: 361-573-4884 | |
Dr. Sheila Ann Newland, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 505 E Mockingbird Ln, Victoria, TX 77904 Phone: 361-578-2904 | |
Dr. James N. Tisdale, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 114 Professional Park Dr, Victoria, TX 77904 Phone: 361-578-8441 | |
Arnel Robert Alcasabas, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 107 James Coleman Dr, Victoria, TX 77904 Phone: 361-578-0234 Fax: 361-578-3812 | |
Hong T. Dang, O.d., P.a. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 9002 N Navarro St, Victoria, TX 77904 Phone: 361-575-6766 | |
Thuyhong Thi Dang, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 8806 N Navarro St Ste 300, Victoria, TX 77904 Phone: 361-575-6766 Fax: 361-575-6767 | |
John S Mccollough, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 4406 N Laurent, Victoria, TX 77901 Phone: 361-578-0107 Fax: 361-578-1320 |