Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Carter S Tisdale, MD

Individual provider General Practice Physician · NPI 1518407600

Dr. Carter S Tisdale, MD is an Ophthalmology in Wright Patterson AFB, Ohio. Graduated from University of South Alabama College of Medicine in 2017, 9 years ago. Practices with Bloom Family Eye Surgeons Ltd, an 8-clinician group and accepts Medicare assignment. Licensed in Alabama.

Years since qualifying
9
Trained at
University of South Alabama College of Medicine
Licensed in
AL
In the registry since
2017
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4881 Sugar Maple Dr
Wright Patterson AFB, OH 45433-5529
Phone: (937) 522-2841
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ophthalmology Physician (primary) Taxonomy 207W00000X · Licence 37355 (AL)
General Practice Physician Taxonomy 208D00000X · Licence 37355 (AL)

Record details

NPI number1518407600
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 8, 2017
Last updated in NPPESMay 9, 2024
Certification dateMay 9, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPHTHALMOLOGY
Medical schoolUNIVERSITY OF SOUTH ALABAMA COLLEGE OF MEDICINE
Graduated 2017 (9 years in practice)
Group practice Bloom Family Eye Surgeons Ltd — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Wright Patterson AFB