Individual provider Active NPI

Carrie Elizabeth Wolfe, OD

  • Optometrist
  • Birmingham, AL
National Provider Identifier
1841399227
Registry record updated May 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
R154TA706 Issued in AL
Practice address
1825 Tin Valley Cir Ste a
Birmingham, AL 35235-3248
Phone
(205) 661-2020
Fax
(205) 661-2010
NPI assigned
Sep 21, 2006
Last updated
May 31, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X R154TA706 AL Primary

Addresses

Primary practice location

1825 Tin Valley Cir Ste a
Birmingham, AL 35235-3248

Mailing address

1825 Tin Valley Cir Stea
Birmingham, AL 35235-3248
Phone (205) 661-2020

Other identifiers 2

IdentifierTypeStateIssuer
009936439MedicaidAL
1154456077OtherALGROUP NPI

Other names 1

  • Carrie Elizabeth Gautreau Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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

Enrollment IDStateProvider typePAC IDDetails
I20040922001109 AL Practitioner - Optometry 6901874346 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eyecare Associates, Inc.Group PAC ID 0749254001, 52 clinicians

Practice addresses (Care Compare)

1825 Tin Valley Cir
Suite a
Birmingham, AL 35235-3248
Phone (205) 661-2020

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery17

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R154TA706ALMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eyecare Associates, Inc. Optometrist Current Accepting new patients
Eyecare Associates, Inc. Optometrist CurrentSince May 10, 2017 Accepting new patients
Eyecare Associates, Inc. Optometrist CurrentSince May 10, 2017 Accepting new patients
Eyecare Associates, Inc. Optometrist Past Accepting new patients
Eyecare Associates, Inc. Past Accepting new patients

Locations

1825 Tin Valley Cir
#A
Birmingham, AL 35235
Phone (205) 661-2020

7880 Old Madison Pike
Madison, AL 35758
Phone (256) 772-8711

15933 Clayton Rd
Ste 201
Ballwin, MO 63011

Interoperability endpoints

  • Direct secure messaging: cwolfe@direct.eyecare-partners.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338422400000",
    "number": "1841399227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1825 TIN VALLEY CIR STEA",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352353248",
            "telephone_number": "205-661-2020",
            "fax_number": "205-661-2010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1825 TIN VALLEY CIR STE A",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352353248",
            "telephone_number": "205-661-2020",
            "fax_number": "205-661-2010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLFE",
        "first_name": "CARRIE",
        "middle_name": "ELIZABETH",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-21",
        "last_updated": "2012-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "R154TA706",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009936439",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1154456077",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARRIE",
            "last_name": "GAUTREAU",
            "middle_name": "ELIZABETH",
            "credential": "OD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.