DR. JAMES N. TISDALE (O.D.) – Optometrist, NPI 1073622692

DR. JAMES N. TISDALE (O.D.) is a healthcare provider. based in Victoria, Texas. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 2309TG (TX). The NPI Number for DR. JAMES N. TISDALE (O.D.) is 1073622692

Main info

Male
Sole Proprietor
51 Years Of Experience
Accepts Medicare Assignment
Name
DR. JAMES N. TISDALE (O.D.)
NPI
1073622692
Phone
(361) 578-8441
Address
114 PROFESSIONAL PARK DR
Enumeration Date
29 August 2006
Last Update Date
4 December 2013

Doctor Profile

Medical School Name
UNIVERSITY OF HOUSTON - COLLEGE OF OPTOMETRY
Secondary Phone
3615788441
Graduation Year
1975 (51 years ago)
PAC ID
6204900897
Professional Enrollment ID
I20080730000636
Address ID
TX779042351VI114XXDRXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

3,128 OPTOMETRY in TX

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Provider Addresses for DR. JAMES N. TISDALE (O.D.)

  • 114, Professional Park Drive, Victoria, Victoria County, Texas, 77904, United States

    VICTORIA, TX 779042351

    Phone: (361) 578-8441

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2008-07-30

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20080730000636IOptometryTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
92014Established patient complete exam of visual system174162$0
92012Established patient problem focused exam of visual system5135$0
92133Imaging of optic nerve2221$0
92083Exam of visual field with extended testing2020$0
92004New patient complete exam of visual system1515$0
View full utilization report →

Insurance plans in this area (ZIP 77904)

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Provider's Procedures

DR. JAMES N. TISDALE (O.D.) performs procedures in OPTOMETRY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OPTOMETRYTX92012Eye and medical examination for diagnosis and treatment, established patient8159
OPTOMETRYTX92083Measurement of field of vision during daylight conditions1212

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Frequently asked questions

Does DR. JAMES N. TISDALE (O.D.) have a public NPI I can cite?
Public records show DR. JAMES N. TISDALE (O.D.) under NPI 1073622692.
Quick check: is DR. JAMES N. TISDALE (O.D.) active?
Public NPPES data shows DR. JAMES N. TISDALE (O.D.) with an active NPI status right now.
How should patients interpret DR. JAMES N. TISDALE (O.D.)'s specialty?
The extract shows Optometrist for DR. JAMES N. TISDALE (O.D.). Clinical services aligned with this taxonomy classification.
What geographic area is tied to DR. JAMES N. TISDALE (O.D.)?
DR. JAMES N. TISDALE (O.D.) is associated with Victoria, Texas in the same public data insurers reference.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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