Derek Gurley, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

3128 Issued in OK

Practice address

1433 Arlington St
Ada, OK 74820-2636

Phone

(580) 436-5606

NPI assigned

Jul 21, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

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

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dr Charles W Gurley OD PCGroup PAC ID 6305970708, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Dr Charles W Gurley OD PC

  • Optometrist
  • Ada, OK
  • NPI 1689704702
  Medicare reassignment Care Compare group NPD
• Stacy G Presley OD PLLC

  • Optometrist
  • Ada, OK
  • NPI 1063542199
  NPD (past)

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

{
    "created_epoch": "1626825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627257600000",
    "number": "1154994655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1433 ARLINGTON ST",
            "city": "ADA",
            "state": "OK",
            "postal_code": "748202636",
            "telephone_number": "580-332-5606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1433 ARLINGTON ST",
            "city": "ADA",
            "state": "OK",
            "postal_code": "748202636",
            "telephone_number": "580-436-5606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GURLEY",
        "first_name": "DEREK",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-07-21",
        "last_updated": "2021-07-26",
        "certification_date": "2021-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OK",
            "license": "3128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christy Gregory
• Jennifer Gregory
• Jerry Gregory
• Xerxes Xylon Griffin
• Charles Wendell Gurley II, O.D.
• Fionnuala M Gurley, M.D.
• Steven Christopher Gurley, OD
• Quyen Thanh Ha, M.D.
• Adam Michael Hail
• Jason H Hale, DC

• Optometrist in Ada, OK
• Providers in Ada, OK by specialty
• Optometrist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2021; 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.