Darwin E Wadsworth Jr., O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1096 Issued in OK

Practice address

9436 E 51St St
Tulsa, OK 74145-9033

Phone

(918) 622-3926

NPI assigned

Feb 8, 2007

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

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

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• D E Wadsworth Jr OD LLC

  • Primary Care Clinic/Center
  • Stillwater, OK
  • NPI 1801485578
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492473600000",
    "number": "1386784130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1555 PALM BEACH LAKES BLVD",
            "address_2": "STE 600",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334012333",
            "telephone_number": "561-965-9110",
            "fax_number": "561-684-7754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9436 E 51ST ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741459033",
            "telephone_number": "918-622-3926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WADSWORTH",
        "first_name": "DARWIN",
        "middle_name": "E",
        "name_suffix": "Jr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-08",
        "last_updated": "2017-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OK",
            "license": "1096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Philander Wade II
• Sarah Renee Wade
• Sherman David Wade
• Sierra Wade
• Emma Wadley
• Camille Lorraine Wafer
• Elisabeth Ann Wagenblast, LPN
• Karissa McNeal Wagenblatt, APRN-CNP
• Benjamin Wagga
• Judy K Wagga

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2017; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.