Daniel A Wolf (NPI# 1225033970, PAC ID# 5698968915) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1225033970 |
| PAC ID by PECOS | 5698968915 |
| Professional Enrollment ID | I20101019001408 |
| Full Name | Daniel A Wolf |
| Organization Legal Name | CLARKSON OPTOMETRY ILLINOIS PC |
| Address |
103 Clintonian Plz Breese IL 62230-1501 |
| Phone Number | 6185267447 |
| Gender | M |
| Medical School | ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO |
| Graduation Year | 1985 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 7012292147 |
| Number of Group Practice Members | 22 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 103 Clintonian Plz, Breese, IL 62230-1501 | 6185267447 | CLARKSON OPTOMETRY ILLINOIS PC |
| 3990 N Illinois St, Swansea, IL 62226-1919 | 6182771130 | JFJ EYECARE LTD |
| Organization Legal Name | CLARKSON OPTOMETRY ILLINOIS PC |
| Physicians | 18 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mindy Miller | Optometry | Clarkson Optometry Illinois PC | 2645 N Illinois St, Clarkson Eyecare, Swansea, IL 62226-2302 |
| Dana S Rozell | Optometry | Clarkson Optometry Illinois PC | 3405 Nameoki Rd A, Clarkson Eyecare, Granite City, IL 62040-3709 |
| Brett Sobieralski | Optometry | Clarkson Optometry Illinois PC | 10 Lincoln Hwy, Suite 101, Fairview Heights, IL 62208-2100 |
| Jennifer Brave Rafati | Optometry | Clarkson Optometry Illinois PC | 2525 Green Mount Commons Dr, Suite 290, Belleville, IL 62221-6735 |
| Thomas J Johnson | Optometry | Clarkson Optometry Illinois PC | 1819 B Homer Adams Pkwy, Alton, IL 62002-5606 |
| Chad R Baker | Optometry | Clarkson Optometry Illinois PC | 6663 Edwardsville Crossing Dr B, Clarkson Eyecare, Edwardsville, IL 62025-2704 |
| Troy W Johnson | Optometry | Clarkson Optometry Illinois PC | 3000 Broadway St, Mount Vernon, IL 62864-2340 |
| Keith R Hamm | Optometry | Clarkson Optometry Illinois PC | 3248 Green Mount Crossing Dr, Shiloh, IL 62269-7284 |
| Jason Richard Diehl | Optometry | Clarkson Optometry Illinois PC | 1025 Columbia Ctr, Columbia, IL 62236-2546 |
| Becky L Rock | Optometry | Clarkson Optometry Illinois PC | 12603, 143 Clarkson Eyecare, Highland, IL 62249-1194 |
| Street Address |
103 CLINTONIAN PLZ |
| City | BREESE |
| State | IL |
| Zip | 62230-1501 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kathleen M Rivera-kunz | Optometry | Clarkson Optometry Illinois PC | 103 Clintonian Plz, Breese, IL 62230-1501 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stephanie Marie Pitt | Registered Dietitian Or Nutrition Professional | 370 N 11th St, Breese, IL 62230-1013 | |
| Ryan Lampe | Physical Therapy | Apex Physical Therapy LLC | 538 Mason Dr, Breese, IL 62230-1115 |
| Justin Mathews | Physical Therapy | Apex Physical Therapy LLC | 538 Mason Dr, Breese, IL 62230-1115 |
| Sarah J Ruff | Physical Therapy | Apex Physical Therapy LLC | 538 Mason Dr, Breese, IL 62230-1115 |
| Kim Peek | Clinical Social Worker | Solutions 4 Wellness Inc | 231 N Main St, Breese, IL 62230-1522 |
| Christina R Diesen | Clinical Social Worker | Solutions 4 Wellness Inc | 231 N Main St, Breese, IL 62230-1522 |
| Travis Allen Isaak | Chiropractic | Revermann Chiropractic P.C. | 397 N Plum St, Breese, IL 62230-1528 |
| Craig A Revermann | Chiropractic | Revermann Chiropractic P.C. | 397 N Plum St, Breese, IL 62230-1528 |
| Meghan Michelle Ziegler | Nurse Practitioner | St Josephs Hospital Breese of The Hospital Sisters of The Third Order | 9401 Holy Cross Ln, Suite 112, Breese, IL 62230-3510 |
| James Henry Wells | Internal Medicine | 9459 Holy Cross Ln, Suite 106, Breese, IL 62230-3510 | |
| Find all physicians in zip 62230 | |||
| City | BREESE |
| Zip Code | 62230 |
| Specialty | OPTOMETRY |
| City + Specialty | BREESE + OPTOMETRY |
Please comment or provide details below to improve the information on Daniel A Wolf.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.