Individual provider Active NPI

Nancy Eileen Wolf, OD

  • Optometrist
  • Bedford, NH
National Provider Identifier
1194824680
Registry record updated Feb 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
NH484 Issued in NH
Practice address
39 South River Road
Bedford, NH 03110
Phone
(603) 836-5353
Fax
(603) 836-5356
NPI assigned
Sep 21, 2006
Last updated
Feb 7, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 7, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X NH484 NH Primary

Addresses

Primary practice location

39 South River Road
Bedford, NH 03110

Mailing address

39 South River Road
Bedford, NH 03110
Phone (603) 836-5353

Other names 1

  • Dr. Nancy Eileen Wolf Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH, MA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20071001000477 NH Practitioner - Optometry 0446345870 Practice locations: Bedford, NH
I20230309002202 MA Practitioner - Optometry 0446345870 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

173 RT
6A
Orleans, MA 02653-3206
Phone (508) 240-0898

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
NH484NHMDOptometrist
0484NHMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Bass River Optical, Inc. Optometrist CurrentSince Nov 12, 2022 Accepting new patients
Chiropractic Associates of Bedford, P.a. Past Accepting new patients

Locations

173 Rt 6A
Orleans, MA 02653
Phone (508) 240-0898

Interoperability endpoints

  • Direct secure messaging: nancy.wolf@uprisedirect.com

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": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391731200000",
    "number": "1194824680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 SOUTH RIVER ROAD",
            "city": "BEDFORD",
            "state": "NH",
            "postal_code": "03110",
            "telephone_number": "603-836-5353",
            "fax_number": "603-836-5356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 SOUTH RIVER ROAD",
            "city": "BEDFORD",
            "state": "NH",
            "postal_code": "03110",
            "telephone_number": "603-836-5353",
            "fax_number": "603-836-5356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLF",
        "first_name": "NANCY",
        "middle_name": "EILEEN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-21",
        "last_updated": "2014-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NH",
            "license": "NH484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NANCY",
            "last_name": "WOLF",
            "middle_name": "EILEEN",
            "prefix": "DR.",
            "credential": "OD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Bedford, NH

Sources for this page

Verify at the official NPI Registry.