Wolk Optometry LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

2008017864 Issued in MO

Legal business name

WOLK OPTOMETRY LLC

Practice address

21530 Hwy 32
Ste Genevieve, MO 63670-8813

Phone

(573) 883-5665

Fax

(573) 883-5661

NPI assigned

Jun 25, 2010

Last updated

Mar 7, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Clint Wolk, ODNPI 1659534279

Title

Owner

Phone

(636) 586-9745

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Clint Michael Wolk, O.D.

  • Optometrist
  • Ste Genevieve, MO
  • NPI 1659534279
  Authorized official Same address or phone

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

{
    "created_epoch": "1277424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1902117864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21530 HWY 32",
            "city": "STE GENEVIEVE",
            "state": "MO",
            "postal_code": "636708813",
            "telephone_number": "573-883-5665",
            "fax_number": "573-883-5661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21530 HWY 32",
            "city": "STE GENEVIEVE",
            "state": "MO",
            "postal_code": "636708813",
            "telephone_number": "573-883-5665",
            "fax_number": "573-883-5661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOLK OPTOMETRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-25",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "WOLK",
        "authorized_official_first_name": "CLINT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "636-586-9745",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MO",
            "license": "2008017864",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "2008017864",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jan Catherine Weith
• Sharon A. Werner
• Christine Wilburn
• William Odneal, O.D.
• Geri Lynn Wipfler, COTA/L
• Clint Michael Wolk, O.D.
• Elizabeth Wolk, OT
• Lisa Anne Zartman, CCC-SLP

• Optometrist in Ste Genevieve, MO
• Providers in Ste Genevieve, MO by specialty
• Optometrist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.