Organization Active NPI

Wolf Eye Care, Inc

  • Optometrist
  • Newton, IL
National Provider Identifier
1013270008
Registry record updated May 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046009985 Issued in IL
Legal business name
WOLF EYE CARE, INC
Practice address
201 E Washington St
Newton, IL 62448-1533
Phone
(618) 783-3123
NPI assigned
Jun 24, 2012
Last updated
May 25, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 25, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Adam Joseph Wolf, O.D.NPI 1205033172
Title
President/Optometrist
Phone
(217) 273-7636

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 046009985 IL Primary

Addresses

Primary practice location

201 E Washington St
Newton, IL 62448-1533

Mailing address

21 Westwood CT
Newton, IL 62448-2016
Phone (217) 273-7636

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20121211000114 IL Part B Supplier - Clinic/Group Practice 9830341205 Receives reassigned benefits from 1 practitioner
Practice locations: Newton, IL
O20130506000186 IL DME Supplier - Physician - Optometrist 9830341205 Practice locations: Newton, IL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Wolf Eye Care, Inc201 E Washington St, Newton, IL 62448-1533(618) 783-3123 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses Accepts assignmentParticipating since Sep 10, 2012

National Provider Directory

National Provider Directory

Locations

201 E Washington St
Newton, IL 62448
Phone (618) 783-3123

301 S Jackson St
Newton, IL 62448
Phone (618) 783-3123

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1340496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653436800000",
    "number": "1013270008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 WESTWOOD CT",
            "city": "NEWTON",
            "state": "IL",
            "postal_code": "624482016",
            "telephone_number": "217-273-7636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 E WASHINGTON ST",
            "city": "NEWTON",
            "state": "IL",
            "postal_code": "624481533",
            "telephone_number": "618-783-3123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOLF EYE CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-24",
        "last_updated": "2022-05-25",
        "certification_date": "2022-05-25",
        "status": "A",
        "authorized_official_last_name": "WOLF",
        "authorized_official_first_name": "ADAM",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT/OPTOMETRIST",
        "authorized_official_telephone_number": "217-273-7636",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046009985",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newton, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.