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Organization

WOLFE CLINIC EYE CENTERS, LC

Active
Parent organization
WOLFE CLINIC EYE CENTERS LC
Organization subpart
Yes

Provider details

NPI number
Legal business name
WOLFE CLINIC EYE CENTERS LC
Authorized official
DAVID MOENCH (CHIEF FINANCIAL OFFICER)
(515) 240-8721
Entity
Organization

Contact information

Practice address
1620 SUPERIOR ST, UNIT 3, WEBSTER CITY, IA 50595-2913
(515) 832-2401
Mailing address
309 E CHURCH ST, MARSHALLTOWN, IA 50158-2946

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1104117
IA
01
44714
MEDICARE GROUP
IA
01
CH5329
RAILROAD MEDICARE GROUP
IA
Enumeration date
03/17/2006
Last updated
08/29/2024
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