Active NPI
Jena Wolf, OD
- Optometrist
- Brighton, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPT.0003382
- Practice address
- 193 S 27TH Ave Ste 400
Brighton, CO 80601-2662 - Phone
- (303) 654-7933
- NPI assigned
- Oct 24, 2017
- Last updated
- Apr 20, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPT.0003382 | CO | Primary |
Addresses
Primary practice location
193 S 27TH Ave Ste 400
Brighton, CO 80601-2662
Mailing address
125 Goff Ave Unit 5204
Pawtucket, RI 02860-9201
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3382 | Other | CO | COLORADO OPTOMETRIC LISENCE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
193 S 27TH Ave
Suite 400
Brighton, CO 80601-2662
Phone 303654793312
193 S 27TH St
Suite 400
Brighton, CO 80601-2662
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OPT.0003382 | CO | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wolf, OD PC | Optometrist | Current | Accepting new patients |
Locations
193 S 27th Ave
Brighton, CO 80601
Phone (303) 654-7933
193 S 27th Ave
Ste 400
Brighton, CO 80601
Phone (303) 654-7933
Organizations & group practices 1
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": "1508803200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1618876800000",
"number": "1396256889",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "125 GOFF AVE UNIT 5204",
"city": "PAWTUCKET",
"state": "RI",
"postal_code": "028609201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "193 S 27TH AVE STE 400",
"city": "BRIGHTON",
"state": "CO",
"postal_code": "806012662",
"telephone_number": "303-654-7933"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOLF",
"first_name": "JENA",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-10-24",
"last_updated": "2021-04-20",
"certification_date": "2021-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CO",
"license": "OPT.0003382",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COLORADO OPTOMETRIC LISENCE",
"identifier": "3382",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brighton, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.