NPIMap

Organization Active NPI

Wolfe Clinic Eye Centers LC

  • Eyewear Supplier
  • Grundy Center, IA
National Provider Identifier
1952084717
Registry record updated Aug 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
WOLFE CLINIC EYE CENTERS LC
Practice address
509 G Ave
Grundy Center, IA 50638-1651
Phone
(319) 824-6380
NPI assigned
Aug 9, 2023
Last updated
Aug 29, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
WOLFE CLINIC EYE CENTERS LCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 29, 2024

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

Authorized official

Name
David Moench
Title
Chief Financial Officer
Phone
(515) 240-8721

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X Primary

Addresses

Primary practice location

509 G Ave
Grundy Center, IA 50638-1651

Mailing address

309 E Church St
Marshalltown, IA 50158-2919
Phone (641) 754-6262

Other names 1

  • Wolfe Family Vision Center Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240524001952 IA DME Supplier - Physician - Optometrist 1850285479 Practice locations: Grundy Center, IA

Other NPIs with the same Medicare PAC ID 9

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Wolfe Clinic Eye Center LC509 G Ave, Grundy Center, IA 50638-1651(319) 824-6380 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses|Prosthetic Lenses: Prosthetics Cataract Lenses Accepts assignmentParticipating since Nov 1, 1996

National Provider Directory

National Provider Directory
Tax ID family
Wolfe Clinic Eye Centers LC11 organizations share this tax ID, including this one
Part of
Wolfe Clinic Eye Centers LC

Other organizations with this tax ID 10

Organizations that report the same tax identification number in the National Provider Directory.

Locations

219 N Main St
Clarion, IA 50525
Phone (515) 337-8232

100 S 23rd St
Fairfield, IA 52556
Phone (515) 472-6151

619 Broad St
Story City, IA 50248
Phone (515) 733-6900

1620 Superior St
Unit 3
Webster City, IA 50595
Phone (515) 832-2401

Practitioners & affiliated clinicians

Practitioners 21

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.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1691539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724889600000",
    "number": "1952084717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 E CHURCH ST",
            "city": "MARSHALLTOWN",
            "state": "IA",
            "postal_code": "501582919",
            "telephone_number": "641-754-6262",
            "fax_number": "641-754-6245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 G AVE",
            "city": "GRUNDY CENTER",
            "state": "IA",
            "postal_code": "506381651",
            "telephone_number": "319-824-6380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOLFE CLINIC EYE CENTERS LC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WOLFE CLINIC EYE CENTERS LC",
        "enumeration_date": "2023-08-09",
        "last_updated": "2024-08-29",
        "certification_date": "2024-08-29",
        "status": "A",
        "authorized_official_last_name": "MOENCH",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "515-240-8721"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wolfe Family Vision Center",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Wolfe Family Vision Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Grundy Center, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.