IndividualActive
Adam Wolf, O.D.
NPI 1205033172 · Optometrist · Newton, IL
Provider details
- NPI number
- 1205033172
- Entity type
- Individual
- Primary specialty
- OptometristEye and Vision Services Providers
- Credential
- O.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 046-009985 (IL)
Specialties & taxonomies
Eye and Vision Services Providers
Practice location
201 E Washington St
Newton, IL 62448-1533
Phone: (618) 783-3123
Approximate (ZIP-level) locationGet directions
Mailing address
201 E Washington St
Newton, IL 62448-1533
Registry dates
- Enumerated
- 2007-07-02
- Last updated
- 2022-05-25
- Certified
- 2022-05-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.