Provider Demographics
NPI:1477558195
Name:WOLFF, ROBERT STEVEN (MD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:STEVEN
Last Name:WOLFF
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:50 S STEPHANIE ST STE 101
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89012-5731
Mailing Address - Country:US
Mailing Address - Phone:702-202-4776
Mailing Address - Fax:702-202-6110
Practice Address - Street 1:3475 GS RICHARDS BLVD STE 130
Practice Address - Street 2:
Practice Address - City:CARSON CITY
Practice Address - State:NV
Practice Address - Zip Code:89703-8462
Practice Address - Country:US
Practice Address - Phone:775-841-2000
Practice Address - Fax:775-841-4200
Is Sole Proprietor?:No
Enumeration Date:2005-06-17
Last Update Date:2024-01-03
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Provider Licenses
StateLicense IDTaxonomies
NV7782207W00000X
CAG81859207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV1477558195Medicaid
CAXPY188112Medicaid
CAXPY188112Medicaid
F42660Medicare UPIN