Gary Wolf

LBN: Gary Wolf
Gary Wolf is an health care organization with primary practice located at 1140 Thorndike St , Palmer MA 01069-1509. The organization recently has only one registered license in Suppliers / Eyewear Supplier (Equipment, not the service), which is considered as the primary health care specialty. Gary Wolf can be contacted via phone (413) 283-2946, or through Wolf, Gary via phone (413) 283-2946.

Contact Information

Primary practice address
1140 Thorndike St Palmer MA 01069-1509
Fax: (413) 283-3631
Website:
Authorized official contact:
Name: Wolf, Gary Doctor of Optometry (OD)

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Eyewear Supplier (Equipment, not the service) 332H00000X 2853 Massachusetts

Profile Details

NPI number 1306015045
LBN Legal business name Gary Wolf
DBA Doing business as
Authorized official Wolf, Gary Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 27th, 2008
Last updated Mar 5th, 2008 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306015045 NPPES
Massachusetts MEDICAID 0338656

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