Provider Demographics
NPI:1235198268
Name:WOLFE, JAMES ARTHUR (OD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:ARTHUR
Last Name:WOLFE
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:368 S HAMILTON RD
Mailing Address - Street 2:
Mailing Address - City:GAHANNA
Mailing Address - State:OH
Mailing Address - Zip Code:43230-3350
Mailing Address - Country:US
Mailing Address - Phone:614-478-7474
Mailing Address - Fax:614-475-5497
Practice Address - Street 1:368 S HAMILTON RD
Practice Address - Street 2:
Practice Address - City:GAHANNA
Practice Address - State:OH
Practice Address - Zip Code:43230-3350
Practice Address - Country:US
Practice Address - Phone:614-478-7474
Practice Address - Fax:614-475-5497
Is Sole Proprietor?:No
Enumeration Date:2006-03-20
Last Update Date:2016-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH5516 T2428152W00000X
NYTUV0045221152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
T25873Medicare UPIN
NY5244700001Medicare NSC
NY5244700002Medicare NSC
T25873Medicare UPIN