Active NPI
Marci Karen Wolfe, OD
- Optometrist
- Marlton, NJ
National Provider Identifier
1770505232
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- NJOAO4329
- Practice address
- 65 Plaza 70 East
Marlton, NJ 08053 - Phone
- (856) 596-4416
- Fax
- (856) 596-6566
- NPI assigned
- Jul 24, 2006
- Sex
- Female
- 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 | NJOAO4329 | NJ | Primary |
Addresses
Primary practice location
65 Plaza 70 East
Marlton, NJ 08053
Mailing address
65 Plaza 70 East
Marlton, NJ 08053
Phone (856) 596-4416
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1C 0537910001 | Other | NJ | DME |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NJOAO4329 | NJ | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Evesham Eye Associates, Inc. | Optometrist | Past | Accepting new patients |
Organizations & group practices 1
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
- Marlton, NJ
- NPI 1619987062
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1200009600000",
"number": "1770505232",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "65 PLAZA 70 EAST",
"city": "MARLTON",
"state": "NJ",
"postal_code": "08053",
"telephone_number": "856-596-4416",
"fax_number": "856-596-6566"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "65 PLAZA 70 EAST",
"city": "MARLTON",
"state": "NJ",
"postal_code": "08053",
"telephone_number": "856-596-4416",
"fax_number": "856-596-6566"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOLFE",
"first_name": "MARCI",
"middle_name": "KAREN",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-24",
"last_updated": "2008-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NJ",
"license": "NJOAO4329",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DME",
"identifier": "1C 0537910001",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Marlton, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.