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DR. PAUL L WOOLF OPTOMETRIST PC O.D.
NPI 1609868868
Optometrist in Gilbert, AZ

Active since August 15, 2005PECOS Enrolled
1660 N HIGLEY RD, STE 101, GILBERT, AZ 85234(480) 830-1212(480) 830-0029 Get Directions Write a Review

NPPES record last updated: November 17, 2015. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Paul L Woolf Optometrist Pc O.d. NPPES

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

DR. PAUL L WOOLF OPTOMETRIST PC O.D. (NPI 1609868868) is an individual optometrist in Gilbert, Arizona, licensed in Arizona (879) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1609868868
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. PAUL L WOOLF OPTOMETRIST PCCredential: O.D.
Location Address1660 N HIGLEY RD, STE 101Gilbert, AZ 85234-1614
Mailing Address1660 N Higley Rd, Ste 101Gilbert, AZ 85234-1614 · (480) 830-1212 · Fax (480) 830-0029
Phone(480) 830-1212
Fax(480) 830-0029
Sole ProprietorYes
Enumeration DateAugust 15, 2005
Last NPPES UpdateNovember 17, 2015
✔ NPI 1609868868 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in AZ · 879
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.
Also ListedOptometrist · Corneal and Contact ManagementTaxonomy 152WC0802X · License 879 (AZ)
Also ListedOptometrist · PediatricsTaxonomy 152WP0200X · License 879 (AZ)
1660 N HIGLEY RD, Gilbert, AZ 85234
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Other Identifiers 2

Medicare UPINU49254AZ
Medicare PINZ121109AZ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona.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. Paul L Woolf Optometrist Pc O.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Paul Woolf Optometrist Pc reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

John H Mcdougall Od Arizona PC
16 mi
Optometrist
13125 N LA MONTANA DR STE 1
Fountain Hills, AZ 85268
  • Reassigned Medicare billing, Arizona enrollment
  • 76 clinicians in this Medicare group
NPI 1851882179 (480) 535-1098

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

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
43 services40 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
18 services18 patients
Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
16 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85234 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
$127.71 typical visit price
range $55.44 – $168.60
Typical copayment $31.92 (range $13.86 – $42.15)
Most-billed visit code 99204
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
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 2

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

DR PAUL L WOOLF OPTOMETRIST PC
Optometrist
1660 N HIGLEY RD, STE 101
GILBERT, AZ 85234
Maricopa County (480) 830-1212
TOTAL EYECARE CENTERS, PLLC
Optometrist
1660 N HIGLEY RD, SUITE 101
GILBERT, AZ 85234
Maricopa County (602) 955-1000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Paul Woolf Optometrist Pc's NPI number?

The NPI number for Paul Woolf Optometrist Pc is 1609868868. It was assigned to this individual provider in the NPPES registry on August 15, 2005.

Where is Paul Woolf Optometrist Pc located?

Paul Woolf Optometrist Pc practices at 1660 N Higley Rd Ste 101, Gilbert, AZ 85234. The listed phone number is (480) 830-1212.

What is Paul Woolf Optometrist Pc's specialty?

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

Is Paul Woolf Optometrist Pc enrolled in Medicare?

Yes. Paul Woolf Optometrist Pc is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Paul Woolf Optometrist Pc's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Paul Woolf Optometrist Pc reassigns Medicare benefits to John H Mcdougall Od Arizona PC (Fountain Hills, AZ). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Paul Woolf Optometrist Pc's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Paul Woolf Optometrist Pc accept?

Health plans from Blue Cross Blue Shield of Arizona list Paul Woolf Optometrist Pc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Paul Woolf Optometrist Pc was last updated on November 17, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.