NPIMap

Organization Active NPI

Woodland Eye Clinic, PC

Doing business as Woodland Eye Clinic of West Union

  • Optometrist
  • West Union, IA
National Provider Identifier
1023878485
Registry record updated Mar 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
WOODLAND EYE CLINIC, PC
Doing business as
Woodland Eye Clinic of West Union
Practice address
104 N Walnut St
West Union, IA 52175-1418
Phone
(563) 422-6085
Fax
(563) 422-6086
NPI assigned
Mar 21, 2024
Last updated
Mar 21, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2024

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

Authorized official

Name
Joshua Aaron Woodland, ODNPI 1699784868
Title
Owner
Phone
(563) 875-0006

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X NU Primary

Addresses

Primary practice location

104 N Walnut St
West Union, IA 52175-1418

Mailing address

819 9TH St SE
Dyersville, IA 52040-2325
Phone (563) 875-0006

Other names 1

  • Woodland Eye Clinic of West Union Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140203001550 IA Part B Supplier - Clinic/Group Practice 4486883998 Receives reassigned benefits from 5 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: West Union, IA; Elkader, IA; Dyersville, IA

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Elkader Eye Care PC5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

808 Wacker Dr
Dubuque, IA 52002
Phone (319) 557-1133

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1710979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710979200000",
    "number": "1023878485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "819 9TH ST SE",
            "city": "DYERSVILLE",
            "state": "IA",
            "postal_code": "520402325",
            "telephone_number": "563-875-0006",
            "fax_number": "563-875-7874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 N WALNUT ST",
            "city": "WEST UNION",
            "state": "IA",
            "postal_code": "521751418",
            "telephone_number": "563-422-6085",
            "fax_number": "563-422-6086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODLAND EYE CLINIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-21",
        "last_updated": "2024-03-21",
        "certification_date": "2024-03-21",
        "status": "A",
        "authorized_official_last_name": "WOODLAND",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_middle_name": "AARON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "563-875-0006",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Woodland Eye Clinic of West Union",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Union, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.