Individual provider Active NPI

James A Podschun, O.D.

  • Optometrist
  • Winter Park, FL
National Provider Identifier
1003804121
Registry record updated Feb 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
FLOP0002303 Issued in FL
Practice address
1935 State Road 436 Ste 1001
Winter Park, FL 32792-2244
Phone
(407) 671-0960
Fax
(407) 677-6696
NPI assigned
Oct 12, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC2303 FL
Optometrist 152W00000X FLOP0002303 FL Primary

Addresses

Primary practice location

1935 State Road 436 Ste 1001
Winter Park, FL 32792-2244

Mailing address

1935 State Road 436 Ste 1001
Winter Park, FL 32792-2244
Phone (407) 671-0960

Other practice location 1

2828 Casa Aloma Way
Suite 400
Winter Park, FL 32792-2223
Phone (407) 671-0960

Other identifiers 1

IdentifierTypeStateIssuer
078735300MedicaidFL

Other names 1

  • James A Podschun Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110331000841 FL Practitioner - Optometry 9739375106 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
James a Podschun OD PAGroup PAC ID 4789870148, 2 clinicians

Practice addresses (Care Compare)

1935 State Rd
Suite 436
Winter Park, FL 32792-2244
Phone (407) 671-0960

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
FLOP0002303FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
James a Podschun OD PA Optometrist CurrentSince Jun 8, 2010 Accepting new patients
Aeg Florida Professional PLLC Optometrist PastSince Dec 7, 2022 Accepting new patients
Aloma Eye Associates P.a. Optometrist PastSince Apr 13, 2001 Accepting new patients

Locations

2828 Casa Aloma Way
Ste 400
Winter Park, FL 32792
Phone (407) 671-0960

1935 State Road 436
Winter Park, FL 32792
Phone (407) 671-0960

1935 State Road 436
Ste 1001
Winter Park, FL 32792
Phone (407) 671-0960

Interoperability endpoints

  • Direct secure messaging: james01@winterparkeyedoctor.eyeclinicdirect.net

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1129075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549324800000",
    "number": "1003804121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1935 STATE ROAD 436 STE 1001",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327922244",
            "telephone_number": "407-671-0960",
            "fax_number": "407-677-6696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1935 STATE ROAD 436 STE 1001",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327922244",
            "telephone_number": "407-671-0960",
            "fax_number": "407-677-6696"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2828 Casa Aloma Way",
            "address_2": "Suite 400",
            "address_purpose": "LOCATION",
            "city": "Winter Park",
            "state": "FL",
            "postal_code": "327922223",
            "country_code": "US",
            "telephone_number": "407-671-0960",
            "fax_number": "407-677-6696",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PODSCHUN",
        "first_name": "JAMES",
        "middle_name": "A",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-12",
        "last_updated": "2019-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC2303",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "FLOP0002303",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "078735300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAMES",
            "last_name": "PODSCHUN",
            "middle_name": "A",
            "credential": "OD PA",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Winter Park, FL

Sources for this page

Verify at the official NPI Registry.