Individual provider Active NPI

Thomas C Wolf, M.D.

  • Ophthalmology Physician
  • Edmond, OK
National Provider Identifier
1124088067
Registry record updated Dec 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
13218 Issued in OK
Practice address
3431 S Boulevard St
Suite 106
Edmond, OK 73013-5475
Phone
(405) 562-2036
Fax
(405) 562-2116
NPI assigned
Mar 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 13218 OK Primary

Addresses

Primary practice location

3431 S Boulevard St
Suite 106
Edmond, OK 73013-5475

Mailing address

3431 S Boulevard St
Suite 106
Edmond, OK 73013-5475
Phone (405) 562-2036

Other identifiers 2

IdentifierTypeStateIssuer
100110830BMedicaidOK
DA7066OtherOKMEDICARE RAILROAD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090618000675 OK Practitioner - Ophthalmology 2264329432 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Oklahoma College of Medicine, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Care Specialists of Oklahoma PLLCGroup PAC ID 4789945239, 5 clinicians

Practice addresses (Care Compare)

3431 S Boulevard
Suite 105
Edmond, OK 73013-5514
Phone (405) 562-2036

Hospital & facility affiliations

  • Integris Baptist Medical Center, Inc Hospital, Oklahoma City, OK, CCN 370028

Merit-based Incentive Payment System (MIPS)

Final score
97.04 of 100Reported as individual
Quality
94.08
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
13218OKMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Care Specialists of Oklahoma PLLC Ophthalmology CurrentSince Jan 1, 2022 Accepting new patients
Dr Thomas Wolf and Associates PLLC Ophthalmology CurrentSince Mar 25, 1998 Accepting new patients
Oklahoma Eye Care Associates,P.L.L.C. Past Accepting new patients
Eye Care Services Ophthalmology Past Accepting new patients
Jeffrey T Shaver PC Ophthalmology Past Accepting new patients
Eye Group LLC Past Accepting new patients
Dr. Shane F. Laster P.a. PastSince Jun 1, 2025 Accepting new patients
Jacob T Smith OD PLLC Past Accepting new patients

Locations

3406 S Boulevard
Edmond, OK 73013
Phone (405) 230-9700

3431 S Boulevard
Ste 105
Edmond, OK 73013
Phone (405) 341-6941

3431 S Boulevard
Ste 106
Edmond, OK 73013
Phone (405) 562-2036

2150 S Douglas Blvd
Ste C
Midwest City, OK 73130
Phone (405) 737-1000

2909 S Telephone Rd
Moore, OK 73160
Phone (405) 733-4545

123 N Mustang Rd
Mustang, OK 73064
Phone (405) 376-0222

2150 S Douglas Blvd
Ste H
Oklahoma City, OK 73130
Phone (405) 771-0880

2525 NW Expressway
Ste 516
Oklahoma City, OK 73112
Phone (405) 206-4230

12444 NW 10th St
Ste 101
Yukon, OK 73099
Phone (405) 265-7521

Interoperability endpoints

  • Direct secure messaging: thomas.wolf.1@17383.direct.athenahealth.com

Organizations & group practices 8

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1143158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1356912000000",
    "number": "1124088067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3431 S BOULEVARD ST",
            "address_2": "SUITE 106",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730135475",
            "telephone_number": "405-562-2036",
            "fax_number": "405-562-2116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3431 S BOULEVARD ST",
            "address_2": "SUITE 106",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730135475",
            "telephone_number": "405-562-2036",
            "fax_number": "405-562-2116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLF",
        "first_name": "THOMAS",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-24",
        "last_updated": "2012-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "OK",
            "license": "13218",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100110830B",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "DA7066",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Edmond, OK

Sources for this page

Verify at the official NPI Registry.