Individual provider Active NPI

Christopher Scott Wolfe, O.D.

  • Optometrist
  • Omaha, NE
National Provider Identifier
1427219617
Registry record updated Sep 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1300 Issued in NE
Practice address
13104 W Dodge Rd
Omaha, NE 68154-2150
Phone
(402) 493-8266
NPI assigned
Jun 19, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1300 NE Primary

Addresses

Primary practice location

13104 W Dodge Rd
Omaha, NE 68154-2150

Mailing address

13104 W Dodge Rd
Omaha, NE 68154-2150
Phone (402) 493-8266

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
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
I20080908000483 NE Practitioner - Optometry 6709952138 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Exclusively Eyecare LLCGroup PAC ID 9739153677, 3 clinicians

Practice addresses (Care Compare)

13104 W Dodge Rd
Omaha, NE 68154-2150
Phone (402) 493-8266

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery34

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Exclusively Eyecare LLC Optometrist CurrentSince May 12, 2008 Accepting new patients

Locations

16161 Cass St
Ste 200
Omaha, NE 68118
Phone (402) 493-8266

13104 W Dodge Rd
Omaha, NE 68154
Phone (402) 493-8266

Interoperability endpoints

  • Direct secure messaging: drchriswolfe@exclusively-eyecare.direct.kno2fy.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1213833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316995200000",
    "number": "1427219617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13104 W DODGE RD",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681542150",
            "telephone_number": "402-493-8266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13104 W DODGE RD",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681542150",
            "telephone_number": "402-493-8266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLFE",
        "first_name": "CHRISTOPHER",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-19",
        "last_updated": "2011-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NE",
            "license": "1300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.