Michelle Lynn Woolf, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

2009018519 Issued in MO

Practice address

600 NE Coronado Dr
Blue Springs, MO 64014-3084

Phone

(816) 224-3838

Fax

(816) 224-6379

NPI assigned

Jul 8, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Michelle Lynn Pine Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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.

• Bethany Eye Center, LLC

  • Optometrist
  • Bethany, MO
  • NPI 1245278753
  NPD (past)
• Moyes Eye Center, P.C.

  • Specialist
  • Kansas City, MO
  • NPI 1700826229
  NPD (past)
• Nass, Inc

  • Optometrist
  • Parkville, MO
  • NPI 1609823384
  NPD (past)

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

{
    "created_epoch": "1247011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663027200000",
    "number": "1861621138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 NE CORONADO DR",
            "city": "BLUE SPRINGS",
            "state": "MO",
            "postal_code": "640143084",
            "telephone_number": "816-224-3838",
            "fax_number": "816-224-6379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 NE CORONADO DR",
            "city": "BLUE SPRINGS",
            "state": "MO",
            "postal_code": "640143084",
            "telephone_number": "816-224-3838",
            "fax_number": "816-224-6379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOLF",
        "first_name": "MICHELLE",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-08",
        "last_updated": "2022-09-13",
        "certification_date": "2022-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "2009018519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "PINE",
            "middle_name": "LYNN",
            "credential": "OD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sue Ellen Wolf, NBC-HWC
• Hannah Ray Wondra, RN
• Jordyn Wood-Harris
• Tammy Woodberry, COTA/L
• Woods Chapel Medical Group PC
• Christopher Workman
• Mikayah Worthon I, DOULA
• Kelsey Wright, OTR
• Tammy Wright
• Deanna Virginia Wuster

• Optometrist in Blue Springs, MO
• Providers in Blue Springs, MO by specialty
• Optometrist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2022; 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.