Individual provider Active NPI

Karl Wray Wolfe, OD

  • Optometrist
  • Saint Marys, PA
National Provider Identifier
1417915877
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG000624 Issued in PA
Practice address
968 South St Marys Rd
St Marys, PA 15857
Phone
(814) 781-3384
Fax
(814) 781-3389
NPI assigned
May 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG000624 PA Primary

Addresses

Primary practice location

968 South St Marys Rd
St Marys, PA 15857

Mailing address

968 South St Marys Rd
St Marys, PA 15857
Phone (814) 781-3384

Other identifiers 6

IdentifierTypeStateIssuer
306064OtherUPMC
397409OtherNVA
43133400001OtherDMERCA
65105OtherKEYSTONE BLUE
PA6484OtherEYEMED
1318797OtherBLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA2 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
I20080725000513 PA Practitioner - Optometry 4082787882 Practice locations: Saint Marys, PA
O20100930055087 PA DME Supplier - Physician - OptometristDME Supplier - Optician 1052523735 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Saint Marys, PA

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

968 S St Marys St
Saint Marys, PA 15857-2833
Phone (814) 781-3384

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery59

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Karl W Wolfe,OD Optometrist CurrentSince Dec 7, 2001 Accepting new patients
Krainz Family Optometry, Inc. Optometrist Past Accepting new patients

Locations

968 S Saint Marys St
Saint Marys, PA 15857
Phone (814) 781-3384

Organizations & group practices 2

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": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1417915877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "968 SOUTH ST MARYS RD",
            "city": "ST MARYS",
            "state": "PA",
            "postal_code": "15857",
            "telephone_number": "814-781-3384",
            "fax_number": "814-781-3389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "968 SOUTH ST MARYS RD",
            "city": "ST MARYS",
            "state": "PA",
            "postal_code": "15857",
            "telephone_number": "814-781-3384",
            "fax_number": "814-781-3389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLFE",
        "first_name": "KARL",
        "middle_name": "WRAY",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-03",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG000624",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPMC",
            "identifier": "306064",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NVA",
            "identifier": "397409",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERCA",
            "identifier": "43133400001",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE BLUE",
            "identifier": "65105",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYEMED",
            "identifier": "PA6484",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "1318797",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Marys, PA

Sources for this page

Verify at the official NPI Registry.