Wesley A Dubose, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

S-533-TA-030 Issued in AL

Practice address

1800 McFarland Blvd E
Suite 406
Tuscaloosa, AL 35404-5874

Phone

(205) 342-0745

Fax

(205) 345-0475

NPI assigned

Dec 7, 2006

Last updated

Nov 28, 2018By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in AL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

University Alabama Birmingham - School of Optometry, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Wesley a Dubose OD Inc

  • Corneal and Contact Management Optometrist
  • Tuscaloosa, AL
  • NPI 1518285683

  Single Specialty

  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543363200000",
    "number": "1003975962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 MCFARLAND BLVD E",
            "address_2": "SUITE 406",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354045874",
            "telephone_number": "205-342-0745",
            "fax_number": "205-342-0745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 MCFARLAND BLVD E",
            "address_2": "SUITE 406",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354045874",
            "telephone_number": "205-342-0745",
            "fax_number": "205-345-0475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUBOSE",
        "first_name": "WESLEY",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-07",
        "last_updated": "2018-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "AL",
            "license": "S-533-TA-030",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009982770",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD",
            "identifier": "51507280",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Druid City Physician Services, LLC (DCH Maternal Fetal Medicine Clinic)
• Druid City Physician Services, LLC (Cardiovascular Care of Alabama)
• Druid City Physician Services, LLC (LiveWell Endocrinology)
• John William Dubay, M.D.
• Cheryl Dubose
• Bailey Nicole Duck
• Euclid Dudley, CRNP
• Kathleen Due, SLPD
• Courtney Duff Harrison, O.T.
• John W Duffy III, MD

• Optometrist in Tuscaloosa, AL
• Providers in Tuscaloosa, AL by specialty
• Optometrist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.