Organization Active NPI

Wolflin Vision Clinic, LLP

  • Optometrist
  • Amarillo, TX
National Provider Identifier
1972756880
Registry record updated Oct 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
WOLFLIN VISION CLINIC, LLP
Practice address
2481 I-40 West
Amarillo, TX 79109-1852
Phone
(806) 358-2205
Fax
(806) 463-2907
NPI assigned
Oct 23, 2008
Last updated
Oct 23, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2008

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

Authorized official

Name
Mark A. Latta, O.D,
Title
Owner/Partner
Phone
(806) 358-2205

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

2481 I-40 West
Amarillo, TX 79109-1852

Mailing address

2481 I-40 West
Amarillo, TX 79109-1852
Phone (806) 358-2205

Other identifiers 2

IdentifierTypeStateIssuer
00T67ZOtherTXBLUECROSS BLUESHIELD
00T67ZOtherTXALL OTHER PLANS

National Provider Directory

National Provider Directory

Locations

2481 W Interstate 40
Amarillo, TX 79109
Phone (806) 358-2205

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1224720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224720000000",
    "number": "1972756880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2481 I-40 WEST",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791091852",
            "telephone_number": "806-358-2205",
            "fax_number": "806-463-2907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2481 I-40 WEST",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791091852",
            "telephone_number": "806-358-2205",
            "fax_number": "806-463-2907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOLFLIN VISION CLINIC, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-23",
        "last_updated": "2008-10-23",
        "status": "A",
        "authorized_official_last_name": "LATTA",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OWNER/PARTNER",
        "authorized_official_telephone_number": "806-358-2205",
        "authorized_official_credential": "O.D,"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD",
            "identifier": "00T67Z",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALL OTHER PLANS",
            "identifier": "00T67Z",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Amarillo, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2008; 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.