Michael A. Wolf is a Eyewear Supplier in Gray, Tennessee. Michael A. Wolf practices all healthcare services and medical treatments related to Eyewear Supplier. The NPI Number for Michael A. Wolf is 1164690277. The last update date is 2008-02-12.
Michael A. Wolf's current location address is 122 Old Gray Station Rd, Gray, Tennessee. You can contact this provider via phone number 4234772020 and fax number 4234772196. The mailing address for Michael A. Wolf is 122 Old Gray Station Rd, Gray, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Michael A. Wolf |
|---|---|
| Address | 122 Old Gray Station Rd, Gray, Tennessee |
| Phone Number | 4234772020 |
| Fax Number | 4234772196 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Wolf Anthony Michael |
| Credentials | O.D. |
| Telephone Number | 4234772020 |
NPI Number Detail
| NPI Number | 1164690277 |
|---|---|
| Provider Enumeration Date | 2008-02-12 |
| Last Updated Date | 2008-02-12 |
Provider Mailing Address Detail
| Address | 122 Old Gray Station Rd |
|---|---|
| City | Gray |
| State | Tennessee (TN) |
| Post Code | 376153434 |
| Phone Number | 4234772020 |
| Fax Number | 4234772196 |
Provider's Primary Taxonomy Detail
| Speciality | Eyewear Supplier |
|---|---|
| Taxonomy | 332H00000X |
| Licence No | OD0000001369 |
|
Definition: An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3591864 | TN | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Michael A. Wolf by the Centers for Medicare & Medicaid Services?
The Michael A. Wolf has been issued the NPI (National Provider Identifier) 1164690277, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Michael A. Wolf's facilities are situated?
The facilities of Michael A. Wolf are physically located at the following address: 122 Old Gray Station Rd, Gray, TN, 376153434.
What is the area of specialization for Michael A. Wolf, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Michael A. Wolf is Eyewear Supplier, and the corresponding taxonomy code that categorizes this area of expertise is 332H00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1164690277 to Michael A. Wolf?
The Centers for Medicare & Medicaid Services originally issued the 1164690277 to Michael A. Wolf on 2008-02-12.
As of what date were the details related to Michael A. Wolf most recently updated or revised?
The information pertaining to Michael A. Wolf, including its address, specialty, and other relevant details, was last updated or revised on 2008-02-12.
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