Provider Demographics
NPI:1538284864
Name:WOLFF, ANNETTE MICHELLE (OD)
Entity Type:Individual
Prefix:DR
First Name:ANNETTE
Middle Name:MICHELLE
Last Name:WOLFF
Suffix:
Gender:F
Credentials:OD
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Mailing Address - Street 1:19210 GULF FWY
Mailing Address - Street 2:STE A
Mailing Address - City:FRIENDSWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:77546-2705
Mailing Address - Country:US
Mailing Address - Phone:832-224-4766
Mailing Address - Fax:281-286-3409
Practice Address - Street 1:2806 S W S YOUNG DR
Practice Address - Street 2:
Practice Address - City:KILLEEN
Practice Address - State:TX
Practice Address - Zip Code:76542-2010
Practice Address - Country:US
Practice Address - Phone:254-634-4800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-19
Last Update Date:2021-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA2323152W00000X
TX9751T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist