DR. JAMES N. TISDALE, O.D., P.C.
NPI 1407027212
Optometrist in Victoria, TX

Q: What is Dr. James N. Tisdale, O.D., P.C.'s NPI number?

The NPI number for Dr. James N. Tisdale, O.D., P.C. is 1407027212. It was assigned to this organization in the NPPES registry on March 19, 2008.

Q: What is Dr. James N. Tisdale, O.D., P.C.'s specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Active since March 19, 2008

114 PROFESSIONAL PARK DR, VICTORIA, TX 77904(361) 578-8441(361) 578-8494 Get Directions Write a Review

NPPES record last updated: May 13, 2014. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Dr. James N. Tisdale, O.d., P.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JAMES N. TISDALE, O.D., P.C. (NPI 1407027212) is a healthcare organization registered as an optometrist in Victoria, Texas and active in the NPI registry since March 2008. The organization lists James N. Tisdale, President Corporation, as its authorized official.

NPPES Registry Identity

NPI1407027212

Entity TypeOrganization

Primary Taxonomy152W00000X

Legal Business NameDR. JAMES N. TISDALE, O.D., P.C.

Location Address114 PROFESSIONAL PARK DRVictoria, TX 77904-2351

Mailing Address114 Professional Park DrVictoria, TX 77904-2351 · (361) 578-8441 · Fax (361) 578-8494

Phone(361) 578-8441

Fax(361) 578-8494

Organization SubpartNo

Authorized OfficialJames N. TisdalePresident Corporation · (361) 578-8441

Enumeration DateMarch 19, 2008

Last NPPES UpdateMay 13, 2014

✔ NPI 1407027212 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

License✔ Licensed in TX · 02309TG

Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

114 PROFESSIONAL PARK DR, Victoria, TX 77904

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Other Identifiers 5

Other440-56-97TX · Aetna

OtherDN6427TX · The Railroad Retirement Board's Medicare Carrier

Other0064QTTX · Bc/bs

Medicare UPINT16307TX

Medicare PIN00E25ATX

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. James N. Tisdale, O.d., P.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by November 30, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date

StateTexasEnrollment IDO20080730000646Non-DME Part B · Clinic/Group PracticeDue dateNovember 30, 2026

Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Dr. James N. Tisdale, O.D., P.C., which bills Medicare for the services this clinician delivers.

Clinician (1)

James Tisdale, O.D.

Optometry

NPI 1073622692

114 PROFESSIONAL PARK DR
Victoria, TX 77904

(361) 578-8441

✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dr. James N. Tisdale, O.D., P.C.'s NPI number?

The NPI number for Dr. James N. Tisdale, O.D., P.C. is 1407027212. It was assigned to this organization in the NPPES registry on March 19, 2008.

Where is Dr. James N. Tisdale, O.D., P.C. located?

Dr. James N. Tisdale, O.D., P.C. is located at 114 Professional Park Dr, Victoria, TX 77904. The listed phone number is (361) 578-8441.

What is Dr. James N. Tisdale, O.D., P.C.'s specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Dr. James N. Tisdale, O.D., P.C. enrolled in Medicare?

Yes. Dr. James N. Tisdale, O.D., P.C. is registered in the Medicare PECOS enrollment system.

When is Dr. James N. Tisdale, O.D., P.C.'s Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Texas, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Dr. James N. Tisdale, O.D., P.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Optometry) reassigns their Medicare billing to Dr. James N. Tisdale, O.D., P.C.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Dr. James N. Tisdale, O.D., P.C. was last updated on May 13, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.