NPIMap

Organization Active NPI

Wolfe Clinic Eye Centers, LC

  • Eyewear Supplier
  • Waverly, IA
National Provider Identifier
1306998026
Registry record updated Aug 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
WOLFE CLINIC EYE CENTERS, LC
Practice address
2020B 3Rd Ave NW
Waverly, IA 50677-2065
Phone
(319) 352-3490
Fax
(319) 352-0468
NPI assigned
Jan 16, 2007
Last updated
Aug 29, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
CLINIC INVESTMENTS INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 29, 2024

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

Authorized official

Name
David Moench
Title
Chief Financial Officer
Phone
(515) 240-8721

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X Primary

Addresses

Primary practice location

2020B 3Rd Ave NW
Waverly, IA 50677-2065

Mailing address

309 E Church St
Marshalltown, IA 50158-2946
Phone (641) 754-6200

Other names 1

  • Wolfe Family Vision Center Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930037507 IA DME Supplier - Physician - Optometrist 1850285479 Practice locations: Waverly, IA

Other NPIs with the same Medicare PAC ID 9

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Wolfe Family Vision Center2020 3Rd Ave NW, Waverly, IA 50677-2065(319) 352-3490 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses|Prosthetic Lenses: Prosthetics Cataract Lenses Accepts assignmentParticipating since Nov 1, 1996

National Provider Directory

National Provider Directory
Tax ID family
Wolfe Clinic Eye Centers LC11 organizations share this tax ID, including this one
Part of
Clinic Investments Inc

Other organizations with this tax ID 10

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724889600000",
    "number": "1306998026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 E CHURCH ST",
            "city": "MARSHALLTOWN",
            "state": "IA",
            "postal_code": "501582946",
            "telephone_number": "641-754-6200",
            "fax_number": "641-754-6245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020B 3RD AVE NW",
            "city": "WAVERLY",
            "state": "IA",
            "postal_code": "506772065",
            "telephone_number": "319-352-3490",
            "fax_number": "319-352-0468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOLFE CLINIC EYE CENTERS, LC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CLINIC INVESTMENTS INC",
        "enumeration_date": "2007-01-16",
        "last_updated": "2024-08-29",
        "certification_date": "2024-08-29",
        "status": "A",
        "authorized_official_last_name": "MOENCH",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "515-240-8721"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wolfe Family Vision Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Waverly, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.