Organization Active NPI

Wolf Eye Associates, P.a.

  • Eyewear Supplier
  • Lewiston, ME
National Provider Identifier
1619046240
Registry record updated Sep 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
WOLF EYE ASSOCIATES, P.A.
Practice address
249 Main St
Lewiston, ME 04240-7053
Phone
(207) 783-9653
Fax
(207) 786-4362
NPI assigned
Nov 7, 2006
Organization subpart
Yes
Parent organization
WOLF EYE ASSOCIATES PAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 14, 2011

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

Authorized official

Name
Dr. Kenneth Peacard Wolf, MD
Title
President Opthalmologist
Phone
(207) 783-9653

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X Primary

Addresses

Primary practice location

249 Main St
Lewiston, ME 04240-7053

Mailing address

249 Main St
Lewiston, ME 04240-7053
Phone (207) 783-9653

National Provider Directory

National Provider Directory
Part of
Wolf Eye Assoc PA

Locations

249 Main St
Ste 1
Lewiston, ME 04240
Phone (207) 783-9653

NPI Registry JSON

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315958400000",
    "number": "1619046240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "249 MAIN ST",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042407053",
            "telephone_number": "207-783-9653",
            "fax_number": "207-786-4362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "249 MAIN ST",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042407053",
            "telephone_number": "207-783-9653",
            "fax_number": "207-786-4362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOLF EYE ASSOCIATES, P.A.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WOLF EYE ASSOCIATES PA",
        "enumeration_date": "2006-11-07",
        "last_updated": "2011-09-14",
        "status": "A",
        "authorized_official_last_name": "WOLF",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "PEACARD",
        "authorized_official_title_or_position": "PRESIDENT OPTHALMOLOGIST",
        "authorized_official_telephone_number": "207-783-9653",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewiston, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.