DR. NICOLE WOHLFORT OD
NPI 1497443634
Optometrist in San Antonio, TX

Q: What is Nicole Wohlfort's NPI number?

The NPI number for Nicole Wohlfort is 1497443634. It was assigned to this individual provider in the NPPES registry on April 26, 2023.

Q: What is Nicole Wohlfort's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Q: When was this NPI record last updated?

The NPPES record for Nicole Wohlfort was last updated on September 2, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 26, 2023PECOS Enrolled

7400 MERTON MINTER ST, SAN ANTONIO, TX 78229(210) 617-5300 Get Directions Write a Review

NPPES record last updated: September 2, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Dr. Nicole Wohlfort Od NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. NICOLE WOHLFORT OD (NPI 1497443634) is an individual optometrist in San Antonio, Texas, licensed in Texas (10952) and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS and is a graduate of Southern College Of Optometry (2023).

NPPES Registry Identity

NPI1497443634

Entity TypeIndividualFemale

Primary Taxonomy152W00000X

Provider Legal NameDR. NICOLE WOHLFORTCredential: OD

Location Address7400 MERTON MINTER STSan Antonio, TX 78229-4404

Mailing Address11250 Signature BlvdSelbyville, DE 19975-3702 · (443) 643-5957

Phone(210) 617-5300

Sole ProprietorNo

Medical School CMSSouthern College Of OptometryGraduated 2023

Enumeration DateApril 26, 2023

Last NPPES UpdateSeptember 2, 2023

NPPES CertifiedSeptember 2, 2023

✔ NPI 1497443634 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

License✔ Licensed in TX · 10952

Definition

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.

7400 MERTON MINTER ST, San Antonio, TX 78229

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Nicole Wohlfort Od is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1355882051

PECOS Enrollment IDI20240921000546

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Nicole Wohlfort reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Vision Central LLC

0.9 mi

Optometrist

7959 FREDERICKSBURG RD
San Antonio, TX 78229

Reassigned Medicare billing, Texas enrollment
4 clinicians in this Medicare group

NPI 1326298498 (210) 735-5440

Raul A. Trevino Od PA

3.9 mi

Optometrist

2210 NW MILITARY HWY
San Antonio, TX 78213

Reassigned Medicare billing, Texas enrollment
3 clinicians in this Medicare group

NPI 1932246758 (210) 344-1400

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78229 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$126.40 typical visit price

range $54.84 – $166.88

Typical copayment $31.60 (range $13.71 – $41.72)

Most-billed visit code 99204

Established Patient

$68.55 typical visit price

range $17.52 – $136.11

Typical copayment $17.13 (range $4.38 – $34.02)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. UTE ANNA HALL LCSW

Social Worker

7400 MERTON MINTER ST, MAILCODE 122
SAN ANTONIO, TX 78229

Bexar County (210) 617-5300

DR. JOHN GIBBONS JORDAN JR. M.D., M.P.H.

Preventive Medicine (Public Health & General Preventive Medicine)