Active NPI
Scott Thomas Wolf, O.D.
- Optometrist
- Springfield, OH
National Provider Identifier
1760517924
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 5349
- Practice address
- 2100 North Bechtle Ave.
Springfield, OH 45504 - Phone
- (937) 399-2312
- Fax
- (937) 399-2317
- NPI assigned
- Feb 21, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 5349 | OH | Primary |
Addresses
Primary practice location
2100 North Bechtle Ave.
Springfield, OH 45504
Mailing address
303 W 5TH St
Marysville, OH 43040-1113
Phone (937) 834-3842
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 20419 | Other | OH | SPECTERA |
| 27658 | Other | OH | MEDICAL EYE SERVICES |
| 48751 | Other | OH | DAVIS VISION |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5349 | OH | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ackerson Eyecare Center, Inc | Optometrist | Past | Accepting new patients |
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.
-
- Optometrist
- Marysville, OH
- NPI 1447360185
-
- Optometrist
- Hilliard, OH
- NPI 1205907953
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172016000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1491782400000",
"number": "1760517924",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "303 W 5TH ST",
"city": "MARYSVILLE",
"state": "OH",
"postal_code": "430401113",
"telephone_number": "937-834-3842"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2100 NORTH BECHTLE AVE.",
"city": "SPRINGFIELD",
"state": "OH",
"postal_code": "45504",
"telephone_number": "937-399-2312",
"fax_number": "937-399-2317"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOLF",
"first_name": "SCOTT",
"middle_name": "THOMAS",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-21",
"last_updated": "2017-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "OH",
"license": "5349",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SPECTERA",
"identifier": "20419",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL EYE SERVICES",
"identifier": "27658",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DAVIS VISION",
"identifier": "48751",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Springfield, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2017; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.