Individual provider Active NPI

Julie Anne Wolf, O.D.

  • Optometrist
  • St Thomas, VI
National Provider Identifier
1144309956
Registry record updated Aug 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
065 Issued in VI
Practice address
Vision Center
Nisky Shopping Center
St Thomas, VI 00803
Phone
(340) 776-2020
Fax
(340) 776-2021
NPI assigned
Nov 3, 2006
Last updated
Aug 16, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2918 FL
Optometrist 152W00000X OPT00001493 GA
Optometrist 152W00000X 065 VI Primary

Addresses

Primary practice location

Vision Center
Nisky Shopping Center
St Thomas, VI 00803

Mailing address

PO Box 305251
St Thomas, VI 00803-5251
Phone (770) 596-0823

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VI
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

Enrollment IDStateProvider typePAC IDDetails
I20230913000770 VI Practitioner - Optometry 7214988021 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St. Croix Vision Center IncGroup PAC ID 9931349214, 6 clinicians

Practice addresses (Care Compare)

4605 Tutu Park Mall
Suite 255
St Thomas, VI 00802-2013
Phone (340) 774-2020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2918FLMDOptometrist
OPT00001493GAMDOptometrist
065VIMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
St Croix Vision Center Inc Optometrist CurrentSince Aug 10, 2023 Accepting new patients
St. Croix Vision Center Optometrist CurrentSince Aug 10, 2023 Accepting new patients

Locations

4605 Tutu Park Mall
Ste 255
St Thomas, VI 00802
Phone (340) 774-2020

8000 Nisky Shopping Ctr
Ste 19
St Thomas, VI 00802
Phone (340) 776-2020

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692144000000",
    "number": "1144309956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 305251",
            "city": "ST THOMAS",
            "state": "VI",
            "postal_code": "008035251",
            "telephone_number": "770-596-0823",
            "fax_number": "770-596-0823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "VISION CENTER",
            "address_2": "NISKY SHOPPING CENTER",
            "city": "ST THOMAS",
            "state": "VI",
            "postal_code": "00803",
            "telephone_number": "340-776-2020",
            "fax_number": "340-776-2021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLF",
        "first_name": "JULIE",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-03",
        "last_updated": "2023-08-16",
        "certification_date": "2023-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "2918",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT00001493",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VI",
            "license": "065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Thomas, VI

Sources for this page

Verify at the official NPI Registry.