Wolf Eye Associates PA

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

WOLF EYE ASSOCIATES PA

Practice address

249 Main St
Lewiston, ME 04240-7053

Phone

(207) 783-9653

Fax

(207) 786-4362

NPI assigned

Oct 28, 2005

Organization subpart

No

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

Authorized official

Name

Dr. Kenneth P Wolf, M.D.

Title

Ophthalmologist/Owner

Phone

(207) 783-9653

Specialties & licenses 1

Addresses

Other identifiers 3

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

{
    "created_epoch": "1130457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1249257600000",
    "number": "1114918273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "249 MAIN ST",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042407053",
            "telephone_number": "207-783-9653",
            "fax_number": "207-786-4362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "249 MAIN ST",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042407053",
            "telephone_number": "207-783-9653",
            "fax_number": "207-786-4362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOLF EYE ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-28",
        "last_updated": "2009-08-03",
        "status": "A",
        "authorized_official_last_name": "WOLF",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OPHTHALMOLOGIST/OWNER",
        "authorized_official_telephone_number": "207-783-9653",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "112040000",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NH MEDICAID",
            "identifier": "30008301",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "C13306",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Martha Wilson
• Theresa Ann Wing
• Andie L Wishman, LCSW
• Brian Witherell, COTA/L
• Karyn Landry Woelflein, M.D.
• Wolf Eye Associates, P.a.
• Wolf Eye Associates, P.a.
• Wolf Eye Associates, PA
• Wolf Eye Associates, PA
• Kenneth P Wolf, M.D.

• Ophthalmology Physician in Lewiston, ME
• Providers in Lewiston, ME by specialty
• Ophthalmology Physician in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.