Active NPI
Walter Forrest Joyner, O.D.
- Optometrist
- Ankeny, IA
National Provider Identifier
1053404590
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 02279
- Practice address
- 1002 SE National Dr
Ankeny, IA 50021 - Phone
- (515) 963-1112
- NPI assigned
- Oct 2, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 02279 | IA | Primary |
Addresses
Primary practice location
1002 SE National Dr
Ankeny, IA 50021
Mailing address
PO Box 1154
Ankeny, IA 50021
Other names 1
- Dr. W. Forrest Joyner
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 02279 | IA | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1053404590",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1154",
"city": "ANKENY",
"state": "IA",
"postal_code": "50021"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1002 SE NATIONAL DR",
"city": "ANKENY",
"state": "IA",
"postal_code": "50021",
"telephone_number": "515-963-1112"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOYNER",
"first_name": "WALTER",
"middle_name": "FORREST",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-02",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "IA",
"license": "02279",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "W.",
"last_name": "JOYNER",
"middle_name": "FORREST",
"prefix": "DR.",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Ankeny, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.