NPIMap

Organization Active NPI

Wolfeboro Eye Associates Inc

  • Optometrist
  • Wolfeboro Falls, NH
National Provider Identifier
1255428520
Registry record updated Mar 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0686 Issued in NH
Legal business name
WOLFEBORO EYE ASSOCIATES INC
Practice address
36 Center St.
Unit 5
Wolfeboro Falls, NH 03896
Phone
(603) 569-8500
Fax
(603) 569-8905
NPI assigned
Oct 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2023

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

Authorized official

Name
Dr. Lori Schafer Kirwan, O.D.NPI 1699873687
Title
Optometrist/Owner
Phone
(603) 569-8500

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X 0685 NH
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X 0686 NH Primary
OpticianGroup: 193200000X MULTI-SPECIALTY GROUP 156FX1800X

Addresses

Primary practice location

36 Center St.
Unit 5
Wolfeboro Falls, NH 03896

Mailing address

PO Box 1196
Wolfeboro Falls, NH 03896-1196
Phone (603) 569-8500

Other identifiers 2

IdentifierTypeStateIssuer
4993990001OtherDMERC REGION A
WOLF820330OtherNHBC/BS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100507000517 NH Part B Supplier - Clinic/Group Practice 8729116975 Receives reassigned benefits from 3 practitioners
Practice locations: Wolfeboro Falls, NH

National Provider Directory

National Provider Directory

Locations

36 Center St
Unit 5
Wolfeboro, NH 03894
Phone (603) 569-8500

36 Center St
Ste 5
Wolfeboro, NH 03894

36 Center St
#5
Wolfeboro, NH 03894
Phone (603) 569-8500

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678752000000",
    "number": "1255428520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1196",
            "city": "WOLFEBORO FALLS",
            "state": "NH",
            "postal_code": "038961196",
            "telephone_number": "603-569-8500",
            "fax_number": "603-569-8905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 CENTER ST.",
            "address_2": "UNIT 5",
            "city": "WOLFEBORO FALLS",
            "state": "NH",
            "postal_code": "03896",
            "telephone_number": "603-569-8500",
            "fax_number": "603-569-8905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOLFEBORO EYE ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-06",
        "last_updated": "2023-03-14",
        "certification_date": "2023-03-14",
        "status": "A",
        "authorized_official_last_name": "KIRWAN",
        "authorized_official_first_name": "LORI",
        "authorized_official_middle_name": "SCHAFER",
        "authorized_official_title_or_position": "OPTOMETRIST/OWNER",
        "authorized_official_telephone_number": "603-569-8500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "NH",
            "license": "0685",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "NH",
            "license": "0686",
            "primary": true
        },
        {
            "code": "156FX1800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC REGION A",
            "identifier": "4993990001",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "WOLF820330",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wolfeboro Falls, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.