NPIMap

Organization Active NPI

Wolfe Clinic Eye Centers, LC

  • Eyewear Supplier
  • Sac City, IA
National Provider Identifier
1760534069
Registry record updated Aug 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
WOLFE CLINIC EYE CENTERS, LC
Practice address
202 S 6TH St
Sac City, IA 50583-2242
Phone
(712) 662-7777
Fax
(712) 662-7311
NPI assigned
Jan 17, 2007
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
Eyewear Supplier 332H00000X NU Primary

Addresses

Primary practice location

202 S 6TH St
Sac City, IA 50583-2242

Mailing address

309 E Church St
Marshalltown, IA 50158-2946
Phone (641) 754-6200

Other names 1

  • Wolfe Family Vision Centers Other name

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Wolfe Clinic Eye Centers LLC202 S 6TH St, Sac City, IA 50583-2242(712) 662-7777 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses|Prosthetic Lenses: Prosthetics Cataract Lenses Accepts assignmentParticipating since Nov 1, 1996

National Provider Directory

National Provider Directory
Tax ID family
Wolfe Clinic Eye Centers LC11 organizations share this tax ID, including this one
Part of
Wolfe Clinic Eye Centers LC

Other organizations with this tax ID 10

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

Locations

202 S 6th St
Sac City, IA 50583
Phone (712) 662-7311

NPI Registry JSON

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724889600000",
    "number": "1760534069",
    "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",
            "telephone_number": "641-754-6200",
            "fax_number": "712-662-7311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 S 6TH ST",
            "city": "SAC CITY",
            "state": "IA",
            "postal_code": "505832242",
            "telephone_number": "712-662-7777",
            "fax_number": "712-662-7311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOLFE CLINIC EYE CENTERS, LC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WOLFE CLINIC EYE CENTERS LC",
        "enumeration_date": "2007-01-17",
        "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": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wolfe Family Vision Centers",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Wolfe Family Vision Centers",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Sac 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 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.