Individual provider Active NPI

Ellen Bridget Wolfe, OD

  • Optometrist
  • Pittsburgh, PA
National Provider Identifier
1386796829
Registry record updated Nov 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG001804 Issued in PA
Practice address
1193 Firwood Dr
Pittsburgh, PA 15243-1824
Phone
(412) 513-8365
NPI assigned
Jan 17, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 20, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG001804 PA Primary

Addresses

Primary practice location

1193 Firwood Dr
Pittsburgh, PA 15243-1824

Mailing address

1193 Firwood Dr
Pittsburgh, PA 15243-1824
Phone (412) 513-8365

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, OH2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20100622000779 PA Practitioner - Optometry 3072640564 Reassigns benefits to 4 organizations
I20230627001676 OH Practitioner - Optometry 3072640564 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sight Services PC 7 clinicians

Practice addresses (Care Compare)

2100 N 49TH St
Kearsley
Philadelphia, PA 19131-2633
Phone (215) 877-1565

6505 Market St
Boardman, OH 44512-3457
Phone (212) 764-0008

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OEG001804PAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Sto-Rox Neighborhood Health Council, Inc. CurrentSince Oct 1, 2018 Accepting new patients
Sight Services P.C. Optometrist CurrentSince May 1, 2022 Accepting new patients
Sightrite Oh LLC Optometrist CurrentSince May 15, 2023 Accepting new patients
Sto-Rox Neighborhood Health Council, Inc. Current Accepting new patients
At Home Eye Care PLLC Optometrist CurrentSince Nov 26, 2019 Accepting new patients
Insight Eye Consultants to Nursing Facilities Inc Optometrist CurrentSince Aug 1, 2018 Accepting new patients
Premier Eye Care, LLC Optometrist PastSince Jun 5, 2008 Accepting new patients

Locations

267 Broadway
Fl 2
Brooklyn, NY 11211
Phone (716) 912-5877

267 Broadway
#2
Brooklyn, NY 11211

6505 Market St
Youngstown, OH 44512
Phone (330) 726-2100

506 Athena Dr
Delmont, PA 15626

710 Thompson Ave
Mc Kees Rocks, PA 15136
Phone (412) 771-6462

100 Edella Rd
South Abington Township, PA 18411
Phone (570) 586-1002

Organizations & group practices 7

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": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574208000000",
    "number": "1386796829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1193 FIRWOOD DR",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152431824",
            "telephone_number": "412-513-8365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1193 FIRWOOD DR",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152431824",
            "telephone_number": "412-513-8365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLFE",
        "first_name": "ELLEN",
        "middle_name": "BRIDGET",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-17",
        "last_updated": "2019-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG001804",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.