Iowa Eyecare Associates PC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

IOWA EYECARE ASSOCIATES PC

Doing business as

Wolfe Clinic PC

Practice address

999 Home PLZ
Suite 100
Waterloo, IA 50701-4822

Phone

(319) 236-0815

Fax

(319) 234-0847

NPI assigned

Mar 27, 2006

Last updated

Jan 2, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

David Moench

Title

Chief Financial Officer

Phone

(641) 754-6200

Specialties & licenses 1

Addresses

Other identifiers 8

Other names 1

• Wolfe Clinic PC Doing business as

Medicare fee-for-service enrollment

Enrolled in IA2 enrollments

Enrollment records 2

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Iowa Eyecare Associates PC

  dba Wolfe Clinic PC

  • Optometrist
  • Cedar Falls, IA
  • NPI 1407988009

  1355234154

  Same PAC ID

Tax ID family

The Eyecare Associateso2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Iowa Eyecare Associates PC

  dba Wolfe Clinic PC

  • Optometrist
  • Cedar Falls, IA
  • NPI 1407988009
  NPD tax ID

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Wolfe Clinic Inc

  • Ophthalmology Physician
  • Marshalltown, IA
  • NPI 1477532174

  Member Of

  NPD member

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Paul T Creeden, OD

  • Optometrist
  • Cedar Falls, IA
  • NPI 1033260997
  Medicare reassignment Care Compare group NPD
• Shawna Harvey, OD

  • Optometrist
  • Waterloo, IA
  • NPI 1548757586
  Medicare reassignment Care Compare group
• Jerry L Stahl, O.D.

  • Optometrist
  • Waterloo, IA
  • NPI 1942309893
  NPD
• Jennifer Leigh Jensen, D.C.

  • Chiropractor
  • Cedar Falls, IA
  • NPI 1265557854
  NPD (past)

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

{
    "created_epoch": "1143417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735776000000",
    "number": "1619937133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 E CHURCH ST",
            "city": "MARSHALLTOWN",
            "state": "IA",
            "postal_code": "501582919",
            "telephone_number": "641-754-6200",
            "fax_number": "641-754-6215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "999 HOME PLZ",
            "address_2": "SUITE 100",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507014822",
            "telephone_number": "319-236-0815",
            "fax_number": "319-234-0847"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "516 Division St Ste 120",
            "address_purpose": "LOCATION",
            "city": "Cedar Falls",
            "state": "IA",
            "postal_code": "506132382",
            "country_code": "US",
            "telephone_number": "319-266-0345",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "IOWA EYECARE ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-27",
        "last_updated": "2025-01-02",
        "certification_date": "2025-01-02",
        "status": "A",
        "authorized_official_last_name": "MOENCH",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "641-754-6200"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "IA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "410026798",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "410023574",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "410027324",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "410028812",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "CG4244",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0117267",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK BLUE CROSS BLUE",
            "identifier": "18418",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "410030429",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wolfe Clinic PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Optometrist in Waterloo, IA
• Providers in Waterloo, IA by specialty
• Optometrist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.