Wesley J Derosier, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

2185 Issued in OK

Practice address

5350 E 31St St Ste 302
Tulsa, OK 74135-5008

Phone

(918) 933-4085

Fax

(918) 779-7794

NPI assigned

Jul 19, 2006

Last updated

Jul 5, 2019By the provider in NPPES

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

Other identifiers 1

Other names 1

• Dr. Wes Derosier Other name

Medicare fee-for-service enrollment

Enrolled in TX, OK2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/2d405cde-1d8b-4a50-adff-ca7776cd856e/

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.

• Cherokee Nation

  • Multi-Specialty Clinic/Center
  • Sallisaw, OK
  • NPI 1780692723

  TX

  Medicare reassignment NPD
• Newview Oklahoma Inc.

  • Multi-Specialty Clinic/Center
  • Oklahoma City, OK
  • NPI 1073827200

  Optometrist

  Medicare reassignment NPD
• Northeastern State University College of Optometry

  • Optometrist
  • Tahlequah, OK
  • NPI 1437106333
  Medicare reassignment NPD
• Cherokee Nation

  dba Cherokee Nation Public Health

  • Public Health or Welfare Agency
  • Tahlequah, OK
  • NPI 1013884154
  NPD
• Cherokee Nation

  • Multi-Specialty Clinic/Center
  • Muskogee, OK
  • NPI 1841207156
  NPD
• Cherokee Nation

  • Multi-Specialty Clinic/Center
  • Ochelata, OK
  • NPI 1871972430
  NPD
• Cherokee Nation

  • Multi-Specialty Clinic/Center
  • Tahlequah, OK
  • NPI 1093722324
  NPD (past)
• Newview Oklahoma Inc.

  • Multi-Specialty Clinic/Center
  • Bartlesville, OK
  • NPI 1396209359

  Optometrist

  NPD (past)

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562284800000",
    "number": "1760401764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 N GRAND AVE",
            "city": "TAHLEQUAH",
            "state": "OK",
            "postal_code": "744647017",
            "telephone_number": "918-456-5511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5350 E 31ST ST STE 302",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741355008",
            "telephone_number": "918-933-4085",
            "fax_number": "918-779-7794"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1001 N Grand Ave",
            "address_purpose": "LOCATION",
            "city": "Tahlequah",
            "state": "OK",
            "postal_code": "744647017",
            "country_code": "US",
            "telephone_number": "918-458-2109",
            "fax_number": "918-458-2310",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "102 SW Frank Phillips Blvd, Bartlesville, OK 74003",
            "address_purpose": "LOCATION",
            "city": "Bartleville",
            "state": "OK",
            "postal_code": "740037400",
            "country_code": "US",
            "telephone_number": "918-933-4085",
            "fax_number": "918-779-7794",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4301 N Classen Blvd",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731185031",
            "country_code": "US",
            "telephone_number": "405-286-9699",
            "fax_number": "405-236-5438",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEROSIER",
        "first_name": "WESLEY",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2019-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OK",
            "license": "2185",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100769300A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "WES",
            "last_name": "DEROSIER",
            "prefix": "DR.",
            "credential": "OD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Dermatology and Laser Center of Oklahoma
• Dermatology Associates of Oklahoma LLC
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• Kim Deroin
• Ashley Elizabeth Deromanis
• Allison J Derry
• Dawn Melissa Deschler
• Meagan Elizabeth Deshane, ATC
• Priyanka Ravindra Deshmukh, MD
• Shomir Deshpande, M.D.

• 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 Jul 5, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.