Individual provider Active NPI

Nicholas Leroy Wolf, O.D.

  • Optometrist
  • Louisville, KY
National Provider Identifier
1902061849
Registry record updated Feb 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
18003526 Issued in IN
Practice address
10232 Westport Rd
Louisville, KY 40241-2148
Phone
(502) 339-2042
NPI assigned
Jul 21, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 29, 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 18003526 IN Primary

Addresses

Primary practice location

10232 Westport Rd
Louisville, KY 40241-2148

Mailing address

11559 Cumberland Rd
Suite 300
Fishers, IN 46037-9784

Other identifiers 2

IdentifierTypeStateIssuer
1879DTOtherKYKENTUCKY OPTOMETRY LICENSE
18003526A/BOtherININDIANA OPTOMETRY LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20090506000363 IN Practitioner - Optometry 2769530401 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Precision Family Eye CareGroup PAC ID 9032341367, 2 clinicians

Practice addresses (Care Compare)

409 Lafollette Sta N
Floyds Knobs, IN 47119-9780
Phone (812) 728-8163

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery28

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18003526INMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Tri-State Doctors of Optometrist CurrentSince May 12, 2018 Accepting new patients
Precision Family Eye Care Optometrist CurrentSince Dec 23, 2013 Accepting new patients
Ky Doctors of Optometry, PLLC Optometrist Past Accepting new patients
Ky Doctors of Optometry, PLLC Optometrist Past Accepting new patients
Fishers Eye Care Optometry LLC Optometrist PastSince May 24, 2020 Accepting new patients
Ky Doctors of Optometry, PLLC Optometrist Past Accepting new patients
Tri-State Doctors of Optometrist Past Accepting new patients
Ky Doctors of Optometry, PLLC Past Accepting new patients
Ky Doctors of Optometry, PLLC Optometrist Past Accepting new patients
Ky Doctors of Optometry, PLLC Optometrist Past Accepting new patients
Ky Doctors of Optometry, PLLC Past Accepting new patients
Fishers Eye Care, LLC Optometrist PastSince Jan 2, 2003 Accepting new patients
Ky Doctors of Optometry, PLLC Optometrist Past Accepting new patients
Ky Doctors of Optometry, PLLC Optometrist Past Accepting new patients
Ky Doctors of Optometry, PLLC Optometrist Past Accepting new patients
Ky Doctors of Optometry, PLLC Optometrist Past Accepting new patients
Ky Doctors of Optometry, PLLC Optometrist Past Accepting new patients

Locations

409 Lafollette Sta N
Floyds Knobs, IN 47119
Phone (317) 979-8354

7727 Mall Rd
Ste B
Florence, KY 41042
Phone (859) 282-1751

4135 Fort Campbell Blvd
Hopkinsville, KY 42240
Phone (270) 887-5765

2312 Sir Barton Way
Ste 170
Lexington, KY 40509
Phone (859) 543-8383

4655 Outer Loop
Louisville, KY 40219
Phone (502) 966-2020

5224 Dixie Hwy
Louisville, KY 40216
Phone (502) 449-2080

100 W Market St
Louisville, KY 40202
Phone (502) 587-8488

3571 Springhurst Blvd
Louisville, KY 40241
Phone (502) 339-7323

7945 Bardstown Rd
Louisville, KY 40291
Phone (502) 231-4061

13210 Shelbyville Rd
Ste 101
Louisville, KY 40223
Phone (502) 244-9198

1001 Breckenridge Ln
Louisville, KY 40207
Phone (502) 893-2015

5220 Frederica St
Owensboro, KY 42301
Phone (270) 684-1174

3910 Hinkleville Rd
Paducah, KY 42001
Phone (270) 443-2090

2115 Lantern Ridge Dr
Ste U500
Richmond, KY 40475
Phone (859) 625-1004

Organizations & group practices 17

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.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1216598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330473600000",
    "number": "1902061849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11559 CUMBERLAND RD",
            "address_2": "SUITE 300",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460379784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10232 WESTPORT RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402412148",
            "telephone_number": "502-339-2042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLF",
        "first_name": "NICHOLAS",
        "middle_name": "LEROY",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-21",
        "last_updated": "2012-02-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18003526",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KENTUCKY OPTOMETRY LICENSE",
            "identifier": "1879DT",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIANA OPTOMETRY LICENSE",
            "identifier": "18003526A/B",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.