D E WADSWORTH JR OD LLC
NPI 1801485578
Clinic/Center - Primary Care in Stillwater, OK

Active since January 15, 2021
1936 N PERKINS RD, STILLWATER, OK 74075(405) 543-1846 Get Directions Write a Review

NPPES record last updated: March 17, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 17, 2021, Jan 15, 2021 (2 updates tracked since 2021).

About D E Wadsworth Jr Od Llc NPPES

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

D E WADSWORTH JR OD LLC (NPI 1801485578) is a healthcare organization registered as a primary care in Stillwater, Oklahoma and active in the NPI registry since January 2021. The organization lists Darwin E Wadsworth, Owner, as its authorized official.

NPPES Registry Identity

NPI1801485578
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameD E WADSWORTH JR OD LLC
Location Address1936 N PERKINS RDStillwater, OK 74075-2978
Mailing Address1936 N Perkins RdStillwater, OK 74075-2978 · (405) 543-1846
Organization SubpartNo
Authorized OfficialDarwin E WadsworthOwner · (405) 543-1846
Enumeration DateJanuary 15, 2021
Last NPPES UpdateMarch 17, 20212 updates tracked since enumeration
NPPES CertifiedMarch 17, 2021
✔ NPI 1801485578 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
1936 N PERKINS RD, Stillwater, OK 74075

Other Identifiers 1

Medicaid100765550BOK

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

D E Wadsworth Jr Od Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to D E Wadsworth Jr Od LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Optometry
NPI 1386784130
9436 E 51ST ST
Tulsa, OK 74145
(918) 622-3926
✔ PECOS66 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 D E Wadsworth Jr Od LLC's NPI number?

The NPI number for D E Wadsworth Jr Od LLC is 1801485578. It was assigned to this organization in the NPPES registry on January 15, 2021.

Where is D E Wadsworth Jr Od LLC located?

D E Wadsworth Jr Od LLC is located at 1936 N Perkins Rd, Stillwater, OK 74075. The listed phone number is (405) 543-1846.

What is D E Wadsworth Jr Od LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Is D E Wadsworth Jr Od LLC enrolled in Medicare?

Yes. D E Wadsworth Jr Od LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through D E Wadsworth Jr Od LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Optometry) reassigns their Medicare billing to D E Wadsworth Jr Od LLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does D E Wadsworth Jr Od LLC accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 5 other insurers list D E Wadsworth Jr Od LLC 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 D E Wadsworth Jr Od LLC was last updated on March 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.