Larry L Wolf, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

1518 Issued in WI

Practice address

1007 E 1St St
Merrill, WI 54452-2511

Phone

(715) 536-3250

NPI assigned

Feb 23, 2006

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Dr. Ronald J. Piffl, Optometrist, LLC

  • Optometrist
  • Merrill, WI
  • NPI 1114220225
  NPD (past)

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

{
    "created_epoch": "1140652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1240876800000",
    "number": "1790750503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1007 E 1ST ST",
            "city": "MERRILL",
            "state": "WI",
            "postal_code": "544522511",
            "telephone_number": "715-536-3250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1007 E 1ST ST",
            "city": "MERRILL",
            "state": "WI",
            "postal_code": "544522511",
            "telephone_number": "715-536-3250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLF",
        "first_name": "LARRY",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-23",
        "last_updated": "2009-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WI",
            "license": "1518",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38566500",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John M Wheat, D.O.
• Dylon Williams
• Michele McNalley Wilson, PA-C
• Marcy A Wiltgen, PTA
• Morgan Baylee Witteman, NP
• Traci Wolff, RN
• Kristin T Woller, COTA
• Woodland Court Elder Services LLC
• Zoua Yang, PHARM D
• Coren Young, RN

• All providers in Merrill, WI
• Optometrist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.