DR. COOPER BLAKESLEE WYRICK OD
NPI 1790338259
Optometrist in Broken Arrow, OK
About Dr. Cooper Blakeslee Wyrick Od NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. COOPER BLAKESLEE WYRICK OD (NPI 1790338259) is an individual optometrist in Broken Arrow, Oklahoma, licensed in Oklahoma (3050) and active in the NPI registry since July 2019. She is enrolled in Medicare PECOS, maintains a secondary practice location in Jenks, and is a graduate of University Of Houston - College Of Optometry (2019).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Cooper Blakeslee Wyrick Od 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.
Medicare Billing Reassignment
Medicare enrollment records show Cooper Wyrick reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Jenks, OK 74037
- Reassigned Medicare billing, Oklahoma enrollment
- 4 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 4
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 74012 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Cooper Wyrick's NPI number?
The NPI number for Cooper Wyrick is 1790338259. It was assigned to this individual provider in the NPPES registry on July 23, 2019.
Where is Cooper Wyrick located?
Cooper Wyrick practices at 433 Stone Wood Dr, Broken Arrow, OK 74012. The listed phone number is (918) 615-2696.
What is Cooper Wyrick's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Cooper Wyrick enrolled in Medicare?
Yes. Cooper Wyrick 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.
Which organization bills Medicare for Cooper Wyrick's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Cooper Wyrick reassigns Medicare benefits to Rose Rock Eyecare PLLC (Jenks, OK). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Cooper Wyrick's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Cooper Wyrick accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and CommunityCare and 8 other insurers list Cooper Wyrick 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 Cooper Wyrick was last updated on October 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.
# Dr. Cooper Blakeslee Wyrick, OD · NPI 1790338259
Optometrist provider in Broken Arrow, Oklahoma. Individual provider, active in the CMS NPPES registry since July 23, 2019.
## Identity
- **NPI:** 1790338259 (Entity type: Individual)
- **Enumerated:** July 23, 2019
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** 3050 (Oklahoma)
- **Sole proprietor:** No
## Practice location
- **Address:** 433 STONE WOOD DR, Broken Arrow, OK 74012-1026
- **Phone:** (918) 615-2696
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** Rose Rock Eyecare PLLC (NPI 1962146639, Jenks, OK), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Houston - College Of Optometry, class of 2019
## Record status
- **NPPES last updated:** October 11, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1790338259) · Data from the CMS NPPES public registry.