Robert Wolf

Primary specialty

OptometristTaxonomy code 152W00000X

License

0046008431 Issued in IL

Practice address

206 N Madison St
Woodstock, IL 60098-3450

Phone

(815) 338-7810

NPI assigned

Jan 12, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

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

Illinois College of Optometry at Chicago, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

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.

• R W Optometric Center Inc

  • Durable Medical Equipment & Medical Supplies
  • Woodstock, IL
  • NPI 1548446610

  Optometrist

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216339200000",
    "number": "1750432308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 N MADISON ST",
            "city": "WOODSTOCK",
            "state": "IL",
            "postal_code": "600983450",
            "telephone_number": "815-338-7810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 N MADISON ST",
            "city": "WOODSTOCK",
            "state": "IL",
            "postal_code": "600983450",
            "telephone_number": "815-338-7810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLF",
        "first_name": "ROBERT",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-12",
        "last_updated": "2008-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "0046008431",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0046008431",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary Jo Winkenwerder, RD, LD
• Within Holistic Counseling
• Amy Kathleen Wojcik, OTR/L
• Michelle Wojnicki, MSW, LCSW
• Krystyna Janina Wojtowicz, MA, LCPC
• Maria Wondra, D.P.T.
• James L Woodman, MD
• Woodstock Chiropractic Center
• Woodstock Christian Life Services
• Woodstock Dental Associates, LTD.

• Optometrist in Woodstock, IL
• Providers in Woodstock, IL by specialty
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2008; 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.