Craig S Wolf, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OH4244/P-128 Issued in OH

Practice address

604 S 30TH St
Heath, OH 43056-1213

Phone

(740) 522-8444

Fax

(740) 522-6493

NPI assigned

Sep 29, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Indian Mound Eye Clinic Inc

  • Optometrist
  • Heath, OH
  • NPI 1487868071
  Medicare reassignment NPD Authorized official
• Eye Surgery Consultants Inc.

  • Specialist
  • Columbus, OH
  • NPI 1942394309
  NPD (past)

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

{
    "created_epoch": "1127952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202342400000",
    "number": "1043207665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "604 S 30TH ST",
            "city": "HEATH",
            "state": "OH",
            "postal_code": "430561213",
            "telephone_number": "740-522-8444",
            "fax_number": "740-522-6493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 S 30TH ST",
            "city": "HEATH",
            "state": "OH",
            "postal_code": "430561213",
            "telephone_number": "740-522-8444",
            "fax_number": "740-522-6493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLF",
        "first_name": "CRAIG",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-29",
        "last_updated": "2008-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "OH4244/P-128",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0797562",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wigal and Kluemper Orthodontics LLC
• Joy Lynn Williams, LISW
• Diana Lee Wilson, LPN
• Dodi Katrina Wilson, LMT
• Winds of Change Counseling
• Jaela Wollenburg
• Michelle Wollenburg
• Bethany Wyles
• Amy L Yaiser, RN
• Nichole T Yoder, PHARMD

• Optometrist in Heath, OH
• Providers in Heath, OH by specialty
• Optometrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.