DR. MICHAEL ANTHONY WOLF (NPI# 1376575050) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376575050 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL ANTHONY WOLF |
| Credential | O.D. |
| Practice Address |
122 Old Gray Station Rd Ste 1 Gray TN 37615-3434 |
| Practice Telephone | 4234772020 |
| Practice Fax Number | 4234772196 |
| Mailing Telephone | 4234772020 |
| Mailing Fax Number | 4234772196 |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2008-01-30 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | OD1369 | TN | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 3598164 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922580687 | Michael L Wolf | Registered Nurse | 9915 S 2240 E, Sandy, UT 84092 | 2018-08-29 |
| 1255706347 | Michael Barry Wolf | Dentist | 2611 Innsbruck Dr, Suite A, New Brighton, MN 55112-6376 | 2015-12-01 |
| 1487041083 | Michael Wolf | Social Worker | 25 Mallory Ave, Staten Island, NY 10305-2513 | 2015-04-21 |
| 1730258807 | Michael Ellis Wolf | Psychologist | 13800 Montfort Dr, Suite 200, Dallas, TX 75240-4348 | 2006-11-06 |
| 1811097496 | Michael Jay Wolf | Psychiatry & Neurology | 620 Newport Center Dr, Suite 1010, Newport Beach, CA 92660-6420 | 2006-09-24 |
| 1417051616 | Michael Alan Wolf | Optometrist | 13179 Garrett Hwy, Suite C, Oakland, MD 21550 | 2006-09-11 |
| 1043251150 | Michael L Wolf | Optometrist | 111 Cliff Cave Road, Suite 100, St Louis, MO 63129 | 2006-06-09 |
| 1558345603 | Michael Samuel Wolf | Pharmacist | 14 Commerce St., Wald Drugs, Flemington, NJ 08822 | 2005-12-02 |
| 1457973729 | Michael Wolf | Podiatrist | 2139 Auburn Ave, Cincinnati, OH 45219-2989 | 2020-05-10 |
| 1295202307 | Michael Wolf | Case Manager/Care Coordinator | 4269 Pearl Rd, Cleveland, OH 44109-4234 | 2018-10-26 |
| Street Address |
122 OLD GRAY STATION RD STE 1 |
| City | GRAY |
| State | TN |
| Zip Code | 37615-3434 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568962983 | Clayton Kilgore | Pharmacist | 208 Suncrest St Unit 1, Gray, TN 37615 | 2018-02-13 |
| 1346648268 | Jesse Mullins | Pharmacist | 121 Boone Ridge Dr, Suite 1006, Johnson City, TN 37615 | 2014-12-09 |
| 1750650875 | Medical Education Assistance Corporation | Pediatrics | 252 Sam Jenkins Rd, Attn: Dr. H. Patrick Stern, Gray, TN 37615 | 2011-12-19 |
| 1700018603 | Anna Lynne Deal | Nurse Practitioner | 119 Boone Ridge Dr., Ste. 201, Johnson City, TN 37615 | 2009-08-11 |
| 1285876631 | Leigh A Furman | Occupational Therapist | 253 Wiltshire Dr., Gray, TN 37615 | 2009-04-01 |
| 1811098908 | Fay Lynn Bembry | Nurse Practitioner | 119 Boone Ridge Drive Ste. 201, Johnson City, TN 37615 | 2006-09-25 |
| 1871528976 | Boones Creek Medical Pllc | Family Medicine | 2685 Boones Creek Road, Suite 104, Johnson City, TN 37615 | 2006-07-11 |
| 1568402048 | Joseph Vincent Pinyard Jr. | Family Medicine | 880 Boones Station Rd, Johnson City, TN 37615 | 2006-06-07 |
| 1548223084 | Pitchar Theerathorn | Internal Medicine | 119 Boone Ridge Drive, Suite 201, Johnson City, TN 37615 | 2006-04-07 |
| 1194717157 | Susan Kay Pennypacker | Nurse Practitioner | 140 Old Gray Station Rd, Suite 200, Gray, TN 37615 | 2005-08-16 |
| Find all providers in zip 37615 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194714733 | Jonathan F Cook | Optometrist | 6 Turnpike Acres Road, Gray, ME 04039 | 2005-10-17 |
| 1821106105 | Gray Family Vision Center, P.a. | Optometrist | 6 Turnpike Acres Road, Gray, ME 04039 | 2006-08-28 |
| 1558378737 | David L Guiseley | Optometrist | 6 Turnpike Acres Rd, Gray, ME 04039-9432 | 2006-08-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255930160 | Maximillian Scott Crockett | Optometrist | James. H Quillen Vamc, Eye Clinic 112e, Mountain Home, TN 37684 | 2020-10-21 |
| 1689272502 | Hayden Matz | Optometrist | 2817 W End Ave Ste 117, Nashville, TN 37203-1481 | 2020-10-13 |
| 1013514207 | Eyecare Plus Th Pllc | Optometrist | 1802 N Jackson St Ste 870, Tullahoma, TN 37388-8237 | 2020-10-01 |
| 1942815832 | National Vision Inc | Optometrist | 210 Paul Huff Pkwy Nw Unit 100, Cleveland, TN 37312-2954 | 2020-09-09 |
| 1912516956 | Mallard Eye Care, LLC | Optometrist | 1334 N Ellington Pkwy # P, Lewisburg, TN 37091-2218 | 2020-07-27 |
| 1619585130 | Caroline Elizabeth Vollberg | Optometrist | 7268 Jarnigan Rd Ste 200, Chattanooga, TN 37421-3097 | 2020-07-21 |
| 1154939742 | Jason Chu | Optometrist | 3343 Aspen Grove Dr Ste 200, Franklin, TN 37067-2908 | 2020-07-20 |
| 1467070656 | Amanda Smith Optometry Pllc | Optometrist | 726 N Locust Ave Ste 2d, Lawrenceburg, TN 38464-2874 | 2020-07-14 |
| 1699393363 | National Vision Inc | Optometrist | 295 New Byhalia Rd, Collierville, TN 38017-3770 | 2020-07-09 |
| 1962029280 | Elise Lou Svennevik | Optometrist | 5554 Franklin Pike Ste 100, Nashville, TN 37220-2131 | 2020-07-02 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.