NPIMap

Organization Active NPI

Wolfe Clinic Eye Centers, LC

  • Optometrist
  • Webster City, IA
National Provider Identifier
1740249978
Registry record updated Aug 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
WOLFE CLINIC EYE CENTERS, LC
Practice address
1620 Superior St
Unit 3
Webster City, IA 50595-2913
Phone
(515) 832-2401
NPI assigned
Mar 17, 2006
Last updated
Aug 29, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
WOLFE CLINIC EYE CENTERS LCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 29, 2024

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
(515) 240-8721

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X Primary

Addresses

Primary practice location

1620 Superior St
Unit 3
Webster City, IA 50595-2913

Mailing address

309 E Church St
Marshalltown, IA 50158-2946

Other identifiers 3

IdentifierTypeStateIssuer
44714OtherIAMEDICARE GROUP
CH5329OtherIARAILROAD MEDICARE GROUP
1104117MedicaidIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040212000679 IA Part B Supplier - Clinic/Group Practice 1850285479 Receives reassigned benefits from 8 practitioners
3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Belmond, IA; Webster City, IA; Waverly, IA; Story City, IA; Sac City, IA; Grundy Center, IA; Fairfield, IA; Clarion, IA…

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Wolfe Clinic Eye CTRS L11 organizations share this tax ID, including this one
Part of
Wolfe Clinic Eye CTRS L

Other organizations with this tax ID 10

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

Locations

1620 Superior St
Unit 3
Webster City, IA 50595
Phone (515) 832-2401

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1142553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724889600000",
    "number": "1740249978",
    "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": "501582946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1620 SUPERIOR ST",
            "address_2": "UNIT 3",
            "city": "WEBSTER CITY",
            "state": "IA",
            "postal_code": "505952913",
            "telephone_number": "515-832-2401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOLFE CLINIC EYE CENTERS, LC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WOLFE CLINIC EYE CENTERS LC",
        "enumeration_date": "2006-03-17",
        "last_updated": "2024-08-29",
        "certification_date": "2024-08-29",
        "status": "A",
        "authorized_official_last_name": "MOENCH",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "515-240-8721"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "44714",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE GROUP",
            "identifier": "CH5329",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1104117",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Webster City, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2024; 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.