DR. WESLEY DENNIS CROCKETT O.D.
NPI 1417243874
Optometrist in Show Low, AZ

Q: What is Wesley Crockett's NPI number?

The NPI number for Wesley Crockett is 1417243874. It was assigned to this individual provider in the NPPES registry on June 23, 2011.

Q: What is Wesley Crockett's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Q: When was this NPI record last updated?

The NPPES record for Wesley Crockett was last updated on April 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 23, 2011PECOS EnrolledAccepts Medicare Assignment

1610 S WHITE MOUNTAIN RD, SHOW LOW, AZ 85901(928) 537-3937 Get Directions Write a Review

NPPES record last updated: April 7, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Apr 7, 2025, Feb 4, 2022, Nov 30, 2015 (3 updates tracked since 2015).

On this page

About Dr. Wesley Dennis Crockett O.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. WESLEY DENNIS CROCKETT O.D. (NPI 1417243874) is an individual optometrist in Show Low, Arizona, licensed in Oregon (3397ATI) and active in the NPI registry since June 2011. He is enrolled in Medicare PECOS, maintains a secondary practice location in Hillsboro, and is a graduate of Pacific University - College Of Optometry (2011).

NPPES Registry Identity

NPI1417243874

Entity TypeIndividualMale

Primary Taxonomy152W00000X

Provider Legal NameDR. WESLEY DENNIS CROCKETTCredential: O.D.

Location Address1610 S WHITE MOUNTAIN RDShow Low, AZ 85901-7106

Mailing Address7515 Se Tualatin Valley HwyHillsboro, OR 97123-8252 · (503) 649-7566 · Fax (503) 649-0123

Phone(928) 537-3937

Sole ProprietorNo

Medical School CMSPacific University - College Of OptometryGraduated 2011

Enumeration DateJune 23, 2011

Last NPPES UpdateApril 7, 20253 updates tracked since enumeration

NPPES CertifiedApril 7, 2025

✔ NPI 1417243874 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

License✔ Licensed in OR · 3397ATI

Definition

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.

1610 S WHITE MOUNTAIN RD, Show Low, AZ 85901

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Secondary Practice Location 1

Location 17515 SE Tualatin Valley HwyHillsboro, OR 97123-8252 · Phone (503) 649-7566 · Fax (503) 649-0123

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Blue Cross and Blue Shield of Louisiana, Blue Cross Blue Shield of Arizona and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Wesley Dennis Crockett O.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4789855941

PECOS Enrollment IDI20250226000828

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85901 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$127.71 typical visit price

range $55.44 – $168.60

Typical copayment $31.92 (range $13.86 – $42.15)

Most-billed visit code 99204

Established Patient

$69.24 typical visit price

range $17.72 – $137.41

Typical copayment $17.31 (range $4.43 – $34.35)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JOHN KNIPPERS MD

Ophthalmology

1610 S WHITE MOUNTAIN RD
SHOW LOW, AZ 85901

Navajo County (602) 955-1000

BARNET DULANEY PERKINS EYE CENTER, PC

Durable Medical Equipment & Medical Supplies

1610 S WHITE MOUNTAIN RD
SHOW LOW, AZ 85901

Navajo County (602) 955-1000

BARNET DULANEY SURGERY CENTER

Clinic/Center (Ambulatory Surgical)

1610 S WHITE MOUNTAIN RD
SHOW LOW, AZ 85901

Navajo County (602) 955-1000

BARNET DULANEY PERKINS EYE CENTER, PC

Clinic/Center (Ambulatory Surgical)

1610 S WHITE MOUNTAIN RD
SHOW LOW, AZ 85901

Navajo County (602) 955-1000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wesley Crockett's NPI number?

The NPI number for Wesley Crockett is 1417243874. It was assigned to this individual provider in the NPPES registry on June 23, 2011.

Where is Wesley Crockett located?

Wesley Crockett practices at 1610 S White Mountain Rd, Show Low, AZ 85901. The listed phone number is (928) 537-3937.

What is Wesley Crockett's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Wesley Crockett enrolled in Medicare?

Yes. Wesley Crockett is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Wesley Crockett accept?

Health plans from Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana and Imperial Insurance Companies, Inc. and 2 other insurers list Wesley Crockett as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Wesley Crockett was last updated on April 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.