Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
WOLF EYE ASSOCIATES PA
Active
Organization
WOLF EYE ASSOCIATES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH P WOLF M.D. (OPHTHALMOLOGIST/OWNER)
(207) 783-9653
Entity
Organization
Contact information
Practice address
249 MAIN ST, LEWISTON, ME 04240-7053
(207) 783-9653
(207) 786-4362
Mailing address
249 MAIN ST, LEWISTON, ME 04240-7053
(207) 783-9653
(207) 786-4362
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
NULL
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
112040000
—
ME
01
—
30008301
NH MEDICAID
NH
01
—
C13306
RR MEDICARE
ME
Enumeration date
10/28/2005
Last updated
08/03/2009
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers