DR. WESLEY J DEROSIER (NPI# 1760401764) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760401764 |
| Entity Type | Individual |
| Full Name | DR. WESLEY J DEROSIER |
| Other Name | DR. WES DEROSIER |
| Credential | O.D. |
| Practice Address |
5350 E 31st St Ste 302 Tulsa OK 74135-5008 |
| Mailing Address |
1001 N Grand Ave Tahlequah OK 74464-7017 |
| Practice Telephone | 9189334085 |
| Practice Fax Number | 9187797794 |
| Mailing Telephone | 9184565511 |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2019-07-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 2185 | OK | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 100769300A | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1001 N Grand Ave, Tahlequah, OK 744647017 | 9184582109 | 9184582310 |
| 102 Sw Frank Phillips Blvd, Bartlesville, Ok 74003, Bartleville, OK 740037400 | 9189334085 | 9187797794 |
| 4301 N Classen Blvd, Oklahoma City, OK 731185031 | 4052869699 | 4052365438 |
| Street Address |
5350 E 31ST ST STE 302 |
| City | TULSA |
| State | OK |
| Zip Code | 74135-5008 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306293394 | Newview Oklahoma | Optometrist | 5350 E 31st St Ste 302, Tulsa, OK 74135-5026 | 2016-05-19 |
| 1467813238 | Kimberly K Guirl | Occupational Therapist | 5350 E 31st St Ste 302, Tulsa, OK 74135-5008 | 2016-03-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437761590 | Dr. Whitney M. Ellsworth, Dpt, Pllc | Physical Therapist | 4185 S Harvard Ave, Suite E-1, Tulsa, OK 74135 | 2020-08-20 |
| 1942839089 | Kimberly Renee Gillens | Student in an Organized Health Care Education/Training Program | 4502 E 41st Street Obgyn Department, Tulsa, OK 74135 | 2020-04-01 |
| 1528525524 | Everest Pain Management | Clinic/Center | 4134 S Harvard Ave Suite B1, Tulsa, OK 74135 | 2019-02-26 |
| 1326524216 | Shelley Deeann Anderson | Technician | 7359 S 68th, Tulsa, OK 74135 | 2018-07-14 |
| 1811489065 | Taylor Diane Spears | Behavioral Analyst | 4835 S Fulton Ave Suite 104, Tulsa, OK 74135 | 2018-06-04 |
| 1225547821 | Heather Nicole Freed | Counselor | 4363 S Harvard Ave, Tulsa, OK 74135 | 2017-09-26 |
| 1306363924 | Danielle Walker | Case Manager/Care Coordinator | 3244 S Lakewood Ave Apt 4e, Tulsa, OK 74135 | 2017-08-24 |
| 1346766078 | Angels Place | Day Training, Developmentally Disabled Services | 3919 S. Oswego Avenue, Tulsa, OK 74135 | 2017-08-15 |
| 1659800019 | Welena-phay Kamamma Boren | Counselor | 4636 S Harvard Avenue, Tulsa, OK 74135 | 2017-06-08 |
| 1346774197 | Brandie Herren | Registered Nurse | 6333 E Skelly Drive, Tulsa, OK 74135 | 2017-04-19 |
| Find all providers in zip 74135 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487264495 | Blake Zoellner | Optometrist | 6999 S Memorial Drive, Tulsa, OK 74133-2052 | 2020-08-04 |
| 1336786094 | Hero Vision of Garnett Plaza Pllc | Optometrist | 11331 E 31st St, Tulsa, OK 74146-1906 | 2019-12-02 |
| 1457996472 | Dr. Bridget Zoellner and Associates LLC | Optometrist | 9720 E 31st St Ste A1, Tulsa, OK 74146-1259 | 2019-11-13 |
| 1891340253 | Shea Schmidt | Optometrist | 4606 E 67th St Ste 7, Tulsa, OK 74136-4943 | 2019-08-02 |
| 1598227621 | Focus Family Eyecare Pllc | Optometrist | 7110 S Mingo Rd Ste 108, Tulsa, OK 74133-3273 | 2019-04-06 |
| 1053803635 | South Tulsa Vision Development | Optometrist | 8988 S Sheridan Rd Ste D1, Tulsa, OK 74133-5035 | 2018-05-31 |
| 1124543079 | Kacy Ann Henley | Optometrist | 9102 S. Toledo Ave. #a, Tulsa, OK 74137-2741 | 2017-08-11 |
| 1326561507 | Kristin Patrick | Optometrist | 4520 S Harvard Ave Ste 135, Tulsa, OK 74135-2916 | 2017-07-19 |
| 1255871760 | Trina Inc | Optometrist | 7466 S Olympia Ave, Suite 50, Tulsa, OK 74132-1838 | 2017-03-02 |
| 1801331129 | Perini Eyecare, Pllc | Optometrist | 4002 S Yale Ave Ste B, Tulsa, OK 74135-6070 | 2016-12-21 |
| Find all providers in TULSA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.