Individual provider Active NPI

Daniel R Wolfe, O.D.

  • Optometrist
  • Cedar Rapids, IA
National Provider Identifier
1346325248
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
02334 Issued in IA
Practice address
2600 Edgewood Rd SW
Suite 376
Cedar Rapids, IA 52404-7818
Phone
(319) 390-4144
Fax
(319) 390-4674
NPI assigned
Oct 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 02334 IA Primary

Addresses

Primary practice location

2600 Edgewood Rd SW
Suite 376
Cedar Rapids, IA 52404-7818

Mailing address

2501 Woodhill Dr SW
Cedar Rapids, IA 52404-3371
Phone (319) 329-9571

Other identifiers 1

IdentifierTypeStateIssuer
10220OtherIABCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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
I20051110000653 IA Practitioner - Optometry 4587682232 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

119 E Washington St
Iowa City, IA 52240-3925

218 E Washington St
Iowa City, IA 52240-3926
Phone (319) 338-6800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Daniel R Wolfe OD PC Optometrist CurrentSince Apr 21, 2011 Accepting new patients
Fetters Family Eye Care PC Optometrist PastSince Jul 16, 2023 Accepting new patients
Discerning Eye Past Accepting new patients

Locations

4211 Glass Rd NE
Ste D
Cedar Rapids, IA 52402
Phone (319) 365-8746

119 E Washington St
Iowa City, IA 52240
Phone (319) 338-6800

218 E Washington St
Iowa City, IA 52240
Phone (319) 338-6800

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1346325248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 WOODHILL DR SW",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524043371",
            "telephone_number": "319-329-9571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 EDGEWOOD RD SW",
            "address_2": "SUITE 376",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524047818",
            "telephone_number": "319-390-4144",
            "fax_number": "319-390-4674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLFE",
        "first_name": "DANIEL",
        "middle_name": "R",
        "name_prefix": "Mr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IA",
            "license": "02334",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "10220",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Rapids, IA

Sources for this page

Verify at the official NPI Registry.