Active NPI
Karen Sue Wolf, OD
- Optometrist
- Ponte Vedra Beach, FL
National Provider Identifier
1154315125
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPC2406
- Practice address
- 150 Professional Dr
Ste 300
Ponte Vedra Beach, FL 32082-6216 - Phone
- (904) 285-8448
- Fax
- (904) 285-3410
- NPI assigned
- Sep 7, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPC2406 | FL | Primary |
Addresses
Primary practice location
150 Professional Dr
Ste 300
Ponte Vedra Beach, FL 32082-6216
Mailing address
150 Professional Dr
Ste 300
Ponte Vedra Beach, FL 32082-6216
Phone (904) 285-8448
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OPC2406 | FL | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1202083200000",
"number": "1154315125",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "150 PROFESSIONAL DR",
"address_2": "STE 300",
"city": "PONTE VEDRA BEACH",
"state": "FL",
"postal_code": "320826216",
"telephone_number": "904-285-8448",
"fax_number": "904-285-3410"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 PROFESSIONAL DR",
"address_2": "STE 300",
"city": "PONTE VEDRA BEACH",
"state": "FL",
"postal_code": "320826216",
"telephone_number": "904-285-8448",
"fax_number": "904-285-3410"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOLF",
"first_name": "KAREN",
"middle_name": "SUE",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-09-07",
"last_updated": "2008-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "FL",
"license": "OPC2406",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ponte Vedra Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.