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GARY WOLF NPI 1306015045


NPI Information

NPI: 1306015045
Provider Name: GARY WOLF
Classification: Eyewear Supplier - 332H00000X
Entity Type: Organization
Address:
1140 THORNDIKE ST
PALMER, MA
ZIP 01069
Phone: (413) 283-2946
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GARY WOLF is an eyewear supplier in Palmer, MA. The provider is an organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. GARY WOLF NPI is 1306015045. The provider is registered as an organization entity type.

The provider's business location address is:

1140 THORNDIKE ST
PALMER, MA
ZIP 01069-509
Phone: (413) 283-2946
Fax: (413) 283-3631

The provider's authorized official is Gary Wolf .
The authorized official title is Optometrist and has the following contact phone number (413) 283-2946.

The enumeration date for this NPI number is 2/27/2008 and was last updated on 3/5/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332H00000XEyewear Supplier2853MASSACHUSETTSYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10338656MEDICAIDMASSACHUSETTS
2T59291MEDICARE UPINMASSACHUSETTS
30433630002MEDICARE NSCMASSACHUSETTS
4192958MEDICARE PINMASSACHUSETTS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024
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