Provider Demographics
NPI:1760534069
Name:WOLFE CLINIC EYE CENTERS, LC
Entity Type:Organization
Organization Name:WOLFE CLINIC EYE CENTERS, LC
Other - Org Name:WOLFE FAMILY VISION CENTERS
Other - Org Type:Other Name
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:
Authorized Official - Last Name:SWARTZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:641-754-6200
Mailing Address - Street 1:309 E CHURCH ST
Mailing Address - Street 2:
Mailing Address - City:MARSHALLTOWN
Mailing Address - State:IA
Mailing Address - Zip Code:50158-2946
Mailing Address - Country:US
Mailing Address - Phone:641-754-6200
Mailing Address - Fax:712-662-7311
Practice Address - Street 1:202 S 6TH ST
Practice Address - Street 2:
Practice Address - City:SAC CITY
Practice Address - State:IA
Practice Address - Zip Code:50583-2242
Practice Address - Country:US
Practice Address - Phone:712-662-7777
Practice Address - Fax:712-662-7311
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:WOLFE CLINIC EYE CENTERS LC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-01-17
Last Update Date:2020-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier