Weatherford Eyecare Center, Pllc is a medicare enrolled "Clinic/center - Primary Care" provider in Weatherford, Oklahoma. Their current practice location is
1545 N Washington St, Weatherford, Oklahoma. You can reach out to their office (for appointments etc.) via phone at
(580) 772-2819.
Weatherford Eyecare Center, Pllc is licensed to practice in Oklahoma (license number 1046) and it also participates in the medicare program. Weatherford Eyecare Center, Pllc
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1154500890.
Healthcare Provider's Profile
| Full Name | Weatherford Eyecare Center, Pllc |
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| Type | Facility |
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| Speciality | Clinic/center - Primary Care |
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| Location | 1545 N Washington St, Weatherford, Oklahoma |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1154500890
- Provider Enumeration Date: 10/30/2007
- Last Update Date: 10/08/2025
Medicare PECOS Information:
- PECOS PAC ID: 0749305928
- Enrollment ID: O20100910000831
Medical Identifiers
Medical identifiers for Weatherford Eyecare Center, Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1154500890 | NPI | - | NPPES |
| 200721070A | Medicaid | OK | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | (* (Not Available)) | Secondary |
| 261QP2300X | Clinic/center - Primary Care | 1046 (Oklahoma) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Weatherford Eyecare Center, Pllc acts as a billing entity for following providers:
| Provider Name | Jimmy D Smart |
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| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1114983897
PECOS PAC ID: 6305876921
Enrollment ID: I20060131000074 |
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| Provider Name | Paul C Tisdal |
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| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1760430938
PECOS PAC ID: 0648395822
Enrollment ID: I20100910000852 |
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| Provider Name | Cooper Free |
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| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1134800071
PECOS PAC ID: 0446605687
Enrollment ID: I20231009002068 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Weatherford Eyecare Center, Pllc is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Weatherford Eyecare Center, Pllc
1545 N Washington St, P.o. Box 308,
Weatherford, OK 73096-2518
Ph: (580) 772-2819 | Weatherford Eyecare Center, Pllc
1545 N Washington St,
Weatherford, OK 73096-2518
Ph: (580) 772-2819 |
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