Organization
WOLFE CLINIC EYE CENTERS LC
Active
Other names
Wolfe Family Vision Centers
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID MOENCH (CHIEF FINANCIAL OFFICER)
(515) 240-8721
Entity
Organization
Contact information
Practice address
202 S 6TH ST, SAC CITY, IA 50583-2242
(712) 662-7311
Mailing address
309 E CHURCH ST, MARSHALLTOWN, IA 50158-2946
(641) 754-6200
(641) 754-6245
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
332H00000X
Eyewear Supplier
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0270967
—
IA
01
—
CK3506
RAILROAD MEDICARE GROUP
IA
Enumeration date
03/17/2006
Last updated
08/29/2024
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