Organization Active NPI

Dr Thomas Wolf and Associates PLLC

  • Ophthalmology Physician
  • Edmond, OK
National Provider Identifier
1992754949
Registry record updated Aug 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
OK13218 Issued in OK
Legal business name
DR THOMAS WOLF AND ASSOCIATES PLLC
Practice address
3431 S Boulevard St
Edmond, OK 73013-5475
Phone
(405) 562-2036
Fax
(405) 562-2116
NPI assigned
May 8, 2006
Last updated
Aug 5, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2010

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

Authorized official

Name
Dr. Thomas C. Wolf, M.D.NPI 1124088067
Title
Owner/Physician
Phone
(405) 562-2036

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X OK13218 OK Primary

Addresses

Primary practice location

3431 S Boulevard St
Edmond, OK 73013-5475

Mailing address

3431 S Boulevard St
Edmond, OK 73013-5475
Phone (405) 562-2036

Other identifiers 2

IdentifierTypeStateIssuer
DA7066OtherOKMEDICARE RAILROAD
200062900AMedicaidOK

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040302000881 OK Part B Supplier - Clinic/Group Practice 3476440645 Receives reassigned benefits from 9 practitioners
Practice locations: Mustang, OK; Yukon, OK; Oklahoma City, OK; Edmond, OK

National Provider Directory

National Provider Directory

Locations

3431 S Boulevard
Edmond, OK 73013
Phone (405) 341-6941

1010 N Pennsylvania Ave
Oklahoma City, OK 73107
Phone (405) 236-3838

2525 NW Expressway
Ste 516
Oklahoma City, OK 73112
Phone (405) 206-4230

7934 N May Ave
Oklahoma City, OK 73120
Phone (405) 848-3937

1030 W Vandament Ave
Yukon, OK 73099
Phone (405) 698-3937

12444 NW 10th St
Ste 101
Yukon, OK 73099
Phone (405) 265-7521

Practitioners & affiliated clinicians

Practitioners 12

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": "1147046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280966400000",
    "number": "1992754949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3431 S BOULEVARD ST",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730135475",
            "telephone_number": "405-562-2036",
            "fax_number": "405-562-2116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3431 S BOULEVARD ST",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730135475",
            "telephone_number": "405-562-2036",
            "fax_number": "405-562-2116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR THOMAS WOLF AND ASSOCIATES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-08",
        "last_updated": "2010-08-05",
        "status": "A",
        "authorized_official_last_name": "WOLF",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "405-562-2036",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "OK",
            "license": "OK13218",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "DA7066",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200062900A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Edmond, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.