Individual provider Active NPI

Adam J Wolf, O.D.

  • Optometrist
  • Newton, IL
National Provider Identifier
1205033172
Registry record updated May 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046-009985 Issued in IL
Practice address
201 E Washington St
Newton, IL 62448-1533
Phone
(618) 783-3123
NPI assigned
Jul 2, 2007
Last updated
May 25, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 25, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 046-009985 IL Primary

Addresses

Primary practice location

201 E Washington St
Newton, IL 62448-1533

Mailing address

201 E Washington St
Newton, IL 62448-1533
Phone (618) 783-3123

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20071214000205 IL Practitioner - Optometry 0749370773 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

201 E Washington St
Newton, IL 62448-1533
Phone (618) 783-3123

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
046-009985ILMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Wolf Eye Care, Inc Optometrist CurrentSince Jun 1, 2012 Accepting new patients
Ideal Eye Surgery LLC Past Accepting new patients
Weber Optiks Inc. Optometrist PastSince Jan 1, 2014 Accepting new patients

Locations

201 E Washington St
Newton, IL 62448
Phone (618) 783-3123

301 S Jackson St
Newton, IL 62448
Phone (618) 783-3123

Organizations & group practices 3

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": "1183334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653436800000",
    "number": "1205033172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 E WASHINGTON ST",
            "city": "NEWTON",
            "state": "IL",
            "postal_code": "624481533",
            "telephone_number": "618-783-3123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 E WASHINGTON ST",
            "city": "NEWTON",
            "state": "IL",
            "postal_code": "624481533",
            "telephone_number": "618-783-3123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLF",
        "first_name": "ADAM",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-02",
        "last_updated": "2022-05-25",
        "certification_date": "2022-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046-009985",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newton, IL

Sources for this page

Verify at the official NPI Registry.