Individual provider Active NPI

Stephen Mark Wolchok, M.D.

  • Ophthalmology Physician
  • Jacksonville, FL
National Provider Identifier
1740324102
Registry record updated Dec 21, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
ME97993 Issued in FL
Practice address
3636 University Blvd S
A2
Jacksonville, FL 32216-4250
Phone
(904) 739-0606
NPI assigned
Feb 19, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X ME97993 FL Primary

Addresses

Primary practice location

3636 University Blvd S
A2
Jacksonville, FL 32216-4250

Mailing address

3636 University Blvd S
A2
Jacksonville, FL 32216-4250
Phone (904) 739-0606

Other identifiers 2

IdentifierTypeStateIssuer
ME97993OtherFLMEDICAL LICENSE
P00428440OtherFLRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071004000827 FL Practitioner - Ophthalmology 7416042452 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Florida College of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Wolchok Eye Associates, P.a.Group PAC ID 3274769765, 2 clinicians

Practice addresses (Care Compare)

3636 University Blvd S
Suite A2
Jacksonville, FL 32216-4210
Phone (904) 739-0606

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
100
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery160

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Wolchok Eye Associates, P.a. CurrentSince Aug 24, 2013 Accepting new patients
Precision Eyewear of Wolchok Eye, LLC PastSince May 12, 2016 Accepting new patients

Locations

3636 University Blvd S
Ste A2
Jacksonville, FL 32216
Phone (904) 739-0606

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1171843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198195200000",
    "number": "1740324102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3636 UNIVERSITY BLVD S",
            "address_2": "A2",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322164250",
            "telephone_number": "904-739-0606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3636 UNIVERSITY BLVD S",
            "address_2": "A2",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322164250",
            "telephone_number": "904-739-0606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLCHOK",
        "first_name": "STEPHEN",
        "middle_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-19",
        "last_updated": "2007-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME97993",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "ME97993",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00428440",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.