Individual provider Active NPI

Kevin Wolfinger

  • Optometrist
  • Huntingdon, PA
National Provider Identifier
1386104925
Registry record updated Jul 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG003545 Issued in PA
Practice address
314 9TH St
Huntingdon, PA 16652-1804
Phone
(814) 643-4500
NPI assigned
Mar 20, 2019
Last updated
Jul 8, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X PA
Optometrist 152W00000X OEG003545 PA Primary

Addresses

Primary practice location

314 9TH St
Huntingdon, PA 16652-1804

Mailing address

202 Allegany Ave
Coudersport, PA 16915-1502
Phone (814) 558-7869

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20190730000692 PA Practitioner - Optometry 2668708678 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wolfinger Eye Care, LLCGroup PAC ID 1557780269, 2 clinicians

Practice addresses (Care Compare)

314 9TH St
Huntingdon, PA 16652-1804
Phone (814) 643-4500

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery50

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OEG003545PAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Wolfinger Eye Care, LLC Optometrist Current Accepting new patients
Robert a Barclay & Artamarie S. Optometrist Current Accepting new patients
Wolfinger Eye Care, LLC Optometrist CurrentSince Sep 18, 2020 Accepting new patients

Locations

314 9th St
Huntingdon, PA 16652
Phone (814) 643-4500

44 E Shirley St
Mount Union, PA 17066
Phone (814) 542-2536

Interoperability endpoints

  • Direct secure messaging: kwolfinger@huntfamily.eyefinity-direct.com
  • Direct secure messaging: kwolfinger@mufamilyeye.eyefinity-direct.com

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": "1553040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562544000000",
    "number": "1386104925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 ALLEGANY AVE",
            "city": "COUDERSPORT",
            "state": "PA",
            "postal_code": "169151502",
            "telephone_number": "814-558-7869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 9TH ST",
            "city": "HUNTINGDON",
            "state": "PA",
            "postal_code": "166521804",
            "telephone_number": "814-643-4500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLFINGER",
        "first_name": "KEVIN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-20",
        "last_updated": "2019-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "PA",
            "license": null,
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG003545",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntingdon, PA

Sources for this page

Verify at the official NPI Registry.