BRUCE B WADLEY (OD) – Optometrist, NPI 1184613739

BRUCE B WADLEY (OD) is a healthcare provider. based in Granbury, Texas. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 5503TG (TX). The NPI Number for BRUCE B WADLEY (OD) is 1184613739

Main info

Male
Sole Proprietor
47 Years Of Experience
Accepts Medicare Assignment
Name
BRUCE B WADLEY (OD)
NPI
1184613739
Phone
(817) 579-7933
Address
1101 WATERS EDGE DR
Enumeration Date
17 October 2005
Last Update Date
26 February 2010

Doctor Profile

Medical School Name
UNIVERSITY OF HOUSTON - COLLEGE OF OPTOMETRY
Secondary Phone
8175797933
Graduation Year
1979 (47 years ago)
PAC ID
8123005659
Group Practice PAC ID
5092809350
Professional Enrollment ID
I20040702000223
Address ID
TX760481474GR1101XDRXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

3,128 OPTOMETRY in TX

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Provider Addresses for BRUCE B WADLEY (OD)

  • DD Loftin, LPC, NCC, PLLC, 1101, Waters Edge Drive, Granbury, Hood County, Texas, 76048, United States

    SUITE 104

    GRANBURY, TX 760481474

    Phone: (817) 579-7933

    Fax: (817) 579-8656

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $183.

Total Amount is formed as General ($183) + Research ($0) + Ownership ($0) = $183.

Last reported payment date: 2024-10-18 • Largest payer in this snapshot: Sight Sciences, Inc. ($129).

Total Amount

$183

General + Research + Ownership

Payments

4

Total payment records

General Amount

$183

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-18

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-07-02

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040702000223IOptometryTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
92012Established patient problem focused exam of visual system217212$0
99213Established patient office or other outpatient visit, 20-29 minutes10884$0
66984Removal of cataract with insertion of prosthetic lens4926$0
92014Established patient complete exam of visual system4444$0
92083Exam of visual field with extended testing2322$0
View full utilization report →

Insurance plans in this area (ZIP 76048)

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Provider's Procedures

BRUCE B WADLEY (OD) performs procedures in OPTOMETRY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OPTOMETRYTX92012Eye and medical examination for diagnosis and treatment, established patient220164
OPTOMETRYTX92083Measurement of field of vision during daylight conditions3330

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5092809350View full group profile
NameSpecialtyState
O P T O M E T R YTX

Reviews

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Frequently asked questions

Does BRUCE B WADLEY (OD) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — BRUCE B WADLEY (OD) uses 1184613739.
Is BRUCE B WADLEY (OD) still practicing?
BRUCE B WADLEY (OD) is currently listed as active in the public NPI registry.
What healthcare role does BRUCE B WADLEY (OD) hold?
Scheduling teams often label BRUCE B WADLEY (OD) under Optometrist. Clinical services aligned with this taxonomy classification.
Where is BRUCE B WADLEY (OD) based?
BRUCE B WADLEY (OD) is tied to Granbury, Texas in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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