| Wolf Eye Center, Inc. | |
|
4505 E Greenstreet Circle, Wasilla, AK 99654 | |
| (907) 376-2020 | |
| (907) 357-3937 |
| Full Name | Wolf Eye Center, Inc. |
|---|---|
| Type | Facility |
| Speciality | Ophthalmology |
| Location | 4505 E Greenstreet Circle, Wasilla, Alaska |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063740363 | NPI | - | NPPES |
| K163165 | Other | AK | MEDICARE PTAN |
| Provider Name | Evan Wolf |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1205801586 PECOS PAC ID: 5597726463 Enrollment ID: I20041026000272 |
| Provider Name | Lauren Evans |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1144451741 PECOS PAC ID: 9335311703 Enrollment ID: I20120626000549 |
| Provider Name | Amber Mayberry |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1689006942 PECOS PAC ID: 3072756980 Enrollment ID: I20130826000077 |
| Provider Name | Austin Joseph Anderson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1063068328 PECOS PAC ID: 7911330766 Enrollment ID: I20191209001311 |
| Provider Name | Jessica A Thornton |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1962983155 PECOS PAC ID: 5799012159 Enrollment ID: I20201118001301 |
| Provider Name | Mark Lantz |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1295909398 PECOS PAC ID: 7810063971 Enrollment ID: I20210421000497 |
| Provider Name | Danica M Lantz |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1942535265 PECOS PAC ID: 0840325544 Enrollment ID: I20210421000509 |
| Provider Name | Kenyon Anderson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1043280555 PECOS PAC ID: 9537187547 Enrollment ID: I20250424002984 |
| Mailing Address | Practice Location Address |
|---|---|
| Wolf Eye Center, Inc. 4505 E Greenstreet Circle, Wasilla, AK 99654 Ph: (907) 376-2020 | Wolf Eye Center, Inc. 4505 E Greenstreet Circle, Wasilla, AK 99654 Ph: (907) 376-2020 |