Dawn Michelle Wolf, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

4901003859 Issued in MI

Practice address

12813 Beresford Dr
Sterling Heights, MI 48313-4113

Phone

(586) 254-0421

NPI assigned

Jun 13, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MI

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

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Joseph J. Lawless O.D.

  • Eyewear Supplier
  • Chesterfield, MI
  • NPI 1275709909
  NPD (past)

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

{
    "created_epoch": "1181692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317686400000",
    "number": "1538363494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12813 BERESFORD DR",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483134113",
            "telephone_number": "586-254-0421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12813 BERESFORD DR",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483134113",
            "telephone_number": "586-254-0421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLF",
        "first_name": "DAWN",
        "middle_name": "MICHELLE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-13",
        "last_updated": "2011-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901003859",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "90-0-E0-6652-0",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "MI2084",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bernhardt Hendrick Witzke, C.S.A.
• Katelynn Wizinsky, LLMSW
• Malgorzata Wlodarczyk, DDS
• Michael S Wojcik, DDS,MS
• Arnold Bryan Wolf, DPM
• Amir H. Wolfe, M.D., MPH
• Stanley B Wolfe, M.D.
• Kenneth J Wolok, DO
• Hailey Marie Wolschleger
• Womancare of Macomb, P.C.

• Optometrist in Sterling Heights, MI
• Providers in Sterling Heights, MI by specialty
• Optometrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2011; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.