Active NPI
Wolflin Vision Clinic, LLP
- Optometrist
- Amarillo, TX
National Provider Identifier
1972756880
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- 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, 2008
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00T67Z | Other | TX | BLUECROSS BLUESHIELD |
| 00T67Z | Other | TX | ALL OTHER PLANS |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Optometrist
- Amarillo, TX
- NPI 1952591398
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
- Kayla Witcher, PHD, LP
- Kathleen Ann Wittler, APRN,BC,PCM
- Chelsie Wolf, NNP
- Wolfin Chiropractic Clinic, LLC (Washington Street Chiro)
- Wolflin Vision Clinic, L.L.P.
- Jennifer L Womack, SPEECH LANGUAGE PATH
- Women's & Children's Healthcare Center
- Women's Healthcare Associates, PLLC
- Edwin Wong, LAC
- David W Wood, L.P.C.
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.