Charles Wendell Gurley II, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1108 Issued in OK

Practice address

1433 Arlington St
Ada, OK 74820-2636

Phone

(580) 332-5606

Fax

(580) 332-3946

NPI assigned

Aug 9, 2006

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 1

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, 1985

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

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: cgurley@advancedeye.eyefinity-direct.com

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

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551916800000",
    "number": "1245240217",
    "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",
            "fax_number": "580-332-3946"
        },
        {
            "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": "580-332-5606",
            "fax_number": "580-332-3946"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "216 W 12TH ST",
            "address_purpose": "LOCATION",
            "city": "ADA",
            "state": "OK",
            "postal_code": "748206404",
            "country_code": "US",
            "telephone_number": "580-332-5606",
            "fax_number": "580-332-3946",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GURLEY",
        "first_name": "CHARLES",
        "middle_name": "WENDELL",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-09",
        "last_updated": "2019-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OK",
            "license": "1108",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100764370A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Meredith Green, PHARMD
• Christy Gregory
• Jennifer Gregory
• Jerry Gregory
• Xerxes Xylon Griffin
• Derek Gurley, OD
• Fionnuala M Gurley, M.D.
• Steven Christopher Gurley, OD
• Quyen Thanh Ha, M.D.
• Adam Michael Hail

• 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 Mar 7, 2019; 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.