Provider Demographics
NPI:1285325217
Name:WOLFE, APRIL M (LDO 2264)
Entity type:Individual
Prefix:
First Name:APRIL
Middle Name:M
Last Name:WOLFE
Suffix:
Gender:F
Credentials:LDO 2264
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1927 CHAMBERS LOOP RD
Mailing Address - Street 2:
Mailing Address - City:TIMBERLAKE
Mailing Address - State:NC
Mailing Address - Zip Code:27583-7455
Mailing Address - Country:US
Mailing Address - Phone:740-739-8311
Mailing Address - Fax:
Practice Address - Street 1:1525 GLENN SCHOOL RD
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27704-3515
Practice Address - Country:US
Practice Address - Phone:919-688-3259
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-19
Last Update Date:2023-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2264156FX1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOptician