Provider Demographics
NPI:1477168581
Name:WOLFINGER EYE CARE, LLC
Entity Type:Organization
Organization Name:WOLFINGER EYE CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:
Authorized Official - Last Name:WOLFINGER
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:814-643-4500
Mailing Address - Street 1:44 E SHIRLEY ST
Mailing Address - Street 2:
Mailing Address - City:MOUNT UNION
Mailing Address - State:PA
Mailing Address - Zip Code:17066-1384
Mailing Address - Country:US
Mailing Address - Phone:814-542-2536
Mailing Address - Fax:814-542-2584
Practice Address - Street 1:44 E SHIRLEY ST
Practice Address - Street 2:
Practice Address - City:MOUNT UNION
Practice Address - State:PA
Practice Address - Zip Code:17066-1384
Practice Address - Country:US
Practice Address - Phone:814-542-2536
Practice Address - Fax:814-542-2584
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-15
Last Update Date:2020-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty