Clint Michael Wolk, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

2008017864 Issued in MO

Practice address

21530 Highway 32
Ste Genevieve, MO 63670-8813

Phone

(573) 883-5665

NPI assigned

Jul 3, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

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

Specialty

Optometry

Education

University of Missouri St Louis - School of Optometry, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Farmington Vision Care LLCGroup PAC ID 1456606854, 3 clinicians

Klein Eye Care I IncGroup PAC ID 3476634148, 3 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Farmington Vision Care LLC

  • Optometrist
  • Farmington, MO
  • NPI 1992206213
  Medicare reassignment Care Compare group NPD Authorized official
• Klein Eye Care I, Inc

  • Optometrist
  • Ste Genevieve, MO
  • NPI 1972627511
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1215043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280448000000",
    "number": "1659534279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21530 HIGHWAY 32",
            "city": "STE GENEVIEVE",
            "state": "MO",
            "postal_code": "636708813",
            "telephone_number": "573-883-5665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21530 HIGHWAY 32",
            "city": "STE GENEVIEVE",
            "state": "MO",
            "postal_code": "636708813",
            "telephone_number": "573-883-5665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLK",
        "first_name": "CLINT",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-03",
        "last_updated": "2010-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "2008017864",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sharon A. Werner
• Christine Wilburn
• William Odneal, O.D.
• Geri Lynn Wipfler, COTA/L
• Wolk Optometry LLC
• Elizabeth Wolk, OT
• Lisa Anne Zartman, CCC-SLP

• Optometrist in Ste Genevieve, MO
• Providers in Ste Genevieve, MO by specialty
• Optometrist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2010; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.