Active NPI
Sharon Wolff, O.D.
- Optometrist
- Columbia Heights, MN
National Provider Identifier
1629170378
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- MN2609
- Practice address
- 4000 Central Ave NE
Columbia Heights, MN 55421-2968 - Phone
- (763) 788-9147
- Fax
- (763) 782-8154
- NPI assigned
- Sep 2, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | MN2609 | MN | Primary |
| Optometrist | 152W00000X | 556 | ND |
Addresses
Primary practice location
4000 Central Ave NE
Columbia Heights, MN 55421-2968
Mailing address
4000 Central Ave NE
Columbia Heights, MN 55421-2968
Phone (763) 788-9147
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| WO1513347 | Other | MN | CLARITY VISION |
| MN2609 | Other | MN | EYEMED |
| 2201084 | Other | MN | MEDICA/UNITED HEALTH CARE |
| 183M6WO | Other | MN | BCBS/MN |
| 2219196 | Other | MN | AMERICA'S PPO |
| 842324500 | Medicaid | MN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 556 | ND | MD | Social Worker |
| MN2609 | MN | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157155200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1334620800000",
"number": "1629170378",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4000 CENTRAL AVE NE",
"city": "COLUMBIA HEIGHTS",
"state": "MN",
"postal_code": "554212968",
"telephone_number": "763-788-9147",
"fax_number": "763-782-8154"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4000 CENTRAL AVE NE",
"city": "COLUMBIA HEIGHTS",
"state": "MN",
"postal_code": "554212968",
"telephone_number": "763-788-9147",
"fax_number": "763-782-8154"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOLFF",
"first_name": "SHARON",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-02",
"last_updated": "2012-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MN",
"license": "MN2609",
"primary": true
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "ND",
"license": "556",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CLARITY VISION",
"identifier": "WO1513347",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EYEMED",
"identifier": "MN2609",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA/UNITED HEALTH CARE",
"identifier": "2201084",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS/MN",
"identifier": "183M6WO",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICA'S PPO",
"identifier": "2219196",
"state": "MN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "842324500",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Columbia Heights, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.