Organization
WOLFE CLINIC EYE CENTERS LC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID MOENCH (CHIEF FINANCIAL OFFICER)
(515) 240-8721
Entity
Organization
Contact information
Practice address
309 E CHURCH ST, MARSHALLTOWN, IA 50158-2946
(641) 754-6200
Mailing address
309 E CHURCH ST, MARSHALLTOWN, IA 50158-2946
(641) 754-6200
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0417634
—
IA
01
—
CI5159
RAILROAD MEDICARE
IA
Enumeration date
01/11/2006
Last updated
08/29/2024
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