THOMAS ALLEN WOLTJER D.O. NPI 1376989202

NPI Information

  • NPI: 1376989202
  • Provider Name: THOMAS ALLEN WOLTJER, D.O.
  • Classification: Ophthalmology - 207WX0107X
  • Specialization: Retina Specialist
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 530 N LORRAINE AVE
    WICHITA, KS
    ZIP 67214
  • Phone: (316) 683-5611

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NPI Details

Thomas Allen Woltjer, D.O. is a retina specialist ophthalmology in Wichita, KS with 6 years of experience. The provider is an ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases. Thomas Allen Woltjer, D.O. NPI is 1376989202. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

530 N LORRAINE AVE
WICHITA, KS
ZIP 67214-837
Phone: (316) 683-5611
Fax: (316) 683-0294

The NPI 1376989202 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Imaging of retina (HCPCS:92134)
  • Established patient complete exam of visual system (HCPCS:92014)
  • Injection of drug into eye (HCPCS:67028)
  • Photography of the retina (HCPCS:92250)
  • Established patient problem focused exam of visual system (HCPCS:92012)
  • New patient complete exam of visual system (HCPCS:92004)
  • Imaging of retina (HCPCS:92134)
  • 2d ultrasound scan of eye tissue and structures (HCPCS:76512)
  • Injection of drug into eye (HCPCS:67028)
  • Established patient complete exam of visual system (HCPCS:92014)
  • Exam of retinal blood vessels using a special camera after injection of a dye (HCPCS:92235)
  • Cataract surgery (HCPCS:NAN11)

The enumeration date for this NPI number is 5/19/2013 and was last updated on 11/7/2024.

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
1207WX0107XOphthalmologyRetina Specialist05-42080KANSASYes

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
1201252990AMEDICAIDKANSAS

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: 3/30/2025

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