Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Jacob Andrew Woldt, OD

Individual provider Optometrist · NPI 1336496355

Dr. Jacob Andrew Woldt, OD is an Optometry in Green Bay, Wisconsin. Graduated from Indiana University - School of Optometry in 2012, 14 years ago. Practices with Tower Clock Eye Center SC, an 8-clinician group and accepts Medicare assignment. Licensed in Iowa, South Dakota and Wisconsin.

Years since qualifying
14
Trained at
Indiana University - School of Optometry
Licensed in
IA, SD, WI
In the registry since
2012
Specialties on file
3
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

1087 W Mason St
Green Bay, WI 54303-1859
Phone: (920) 499-3102
Fax: (920) 499-9636
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 692 (SD)
Optometrist Taxonomy 152W00000X · Licence 3615 (WI)
Optometrist Taxonomy 152W00000X · Licence 002598 (IA)

Record details

NPI number1336496355
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedAugust 9, 2012
Last updated in NPPESDecember 22, 2021
Certification dateDecember 22, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolINDIANA UNIVERSITY - SCHOOL OF OPTOMETRY
Graduated 2012 (14 years in practice)
Group practice Tower Clock Eye Center Sc — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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