Individual
DR. KARL WRAY WOLFE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
968 SOUTH ST MARYS RD, ST MARYS, PA 15857
(814) 781-3384
(814) 781-3389
Mailing address
968 SOUTH ST MARYS RD, ST MARYS, PA 15857
(814) 781-3384
(814) 781-3389
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG000624
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1318797
BLUE CROSS BLUE SHIELD
—
01
—
306064
UPMC
—
01
—
397409
NVA
—
01
—
43133400001
DMERCA
—
01
—
65105
KEYSTONE BLUE
—
01
—
PA6484
EYEMED
—
Enumeration date
05/03/2006
Last updated
07/08/2007
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