Individual provider Active NPI

Brad F Wells, O.D.

  • Optometrist
  • Broken Arrow, OK
National Provider Identifier
1801833991
Registry record updated Jun 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2437 Issued in OK
Practice address
1751 W Albany St
Broken Arrow, OK 74012-1462
Phone
(918) 994-4450
Fax
(918) 994-4451
NPI assigned
May 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2437 OK Primary

Addresses

Primary practice location

1751 W Albany St
Broken Arrow, OK 74012-1462

Mailing address

1751 W Albany St
Broken Arrow, OK 74012-1462
Phone (918) 994-4450

Other identifiers 2

IdentifierTypeStateIssuer
P00178439OtherOKRAIL ROAD MEDICARE
200038340AMedicaidOK

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20040811000783 OK Practitioner - Optometry 1951373794 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1751 W Albany St
Broken Arrow, OK 74012-1462
Phone (918) 994-4450

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery38

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2437OKMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Brad Wells OD PC Inc Optometrist CurrentSince Sep 1, 2008 Accepting new patients

Locations

1751 W Albany St
Broken Arrow, OK 74012
Phone (918) 994-4450

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780876800000",
    "number": "1801833991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1751 W ALBANY ST",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740121462",
            "telephone_number": "918-994-4450",
            "fax_number": "918-994-4451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1751 W ALBANY ST",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740121462",
            "telephone_number": "918-994-4450",
            "fax_number": "918-994-4451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELLS",
        "first_name": "BRAD",
        "middle_name": "F",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-31",
        "last_updated": "2026-06-08",
        "certification_date": "2026-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OK",
            "license": "2437",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "P00178439",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200038340A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Broken Arrow, OK

Sources for this page

Verify at the official NPI Registry.