Individual provider Active NPI

Jodi Lynne Duda, OD

  • Optometrist
  • Troy, PA
National Provider Identifier
1144237116
Registry record updated Feb 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG000792 Issued in PA
Practice address
547 Canton St
Troy, PA 16947-1479
Phone
(570) 297-2970
Fax
(570) 297-5057
NPI assigned
Aug 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG000792 PA Primary

Addresses

Primary practice location

547 Canton St
Troy, PA 16947-1479

Mailing address

547 Canton St
Troy, PA 16947-1479
Phone (570) 297-2970

Other identifiers 1

IdentifierTypeStateIssuer
0013916500007MedicaidPA

Other names 1

  • Jodi Lynne Richart Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20040318000611 PA Practitioner - Optometry 1153211586 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Grady D. Gafford MD PC 5 clinicians

Practice addresses (Care Compare)

547 Canton St
Troy, PA 16947-1479
Phone (570) 724-2131

Hospital & facility affiliations

  • Robert Packer Hospital Hospital, Sayre, PA, CCN 390079

Merit-based Incentive Payment System (MIPS)

Final score
60 of 100Reported as group
Quality
20
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery11

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OEG000792PAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Grady D. Gafford MD PC Optometrist CurrentSince Aug 19, 2019 Accepting new patients
Grady D. Gafford MD PC Optometrist CurrentSince Aug 19, 2019 Accepting new patients
Jason D Munitz OD & Scott Rutkoski OD PTR Optometrist Past Accepting new patients

Locations

547 Canton St
Troy, PA 16947
Phone (570) 297-2970

547 Canton St
#1
Troy, PA 16947
Phone (570) 297-2970

15 Meade St
Ste U1
Wellsboro, PA 16901
Phone (570) 724-2131

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581984000000",
    "number": "1144237116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "547 CANTON ST",
            "city": "TROY",
            "state": "PA",
            "postal_code": "169471479",
            "telephone_number": "570-297-2970",
            "fax_number": "570-297-5057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "547 CANTON ST",
            "city": "TROY",
            "state": "PA",
            "postal_code": "169471479",
            "telephone_number": "570-297-2970",
            "fax_number": "570-297-5057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUDA",
        "first_name": "JODI",
        "middle_name": "LYNNE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-02",
        "last_updated": "2020-02-18",
        "certification_date": "2020-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG000792",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0013916500007",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JODI",
            "last_name": "RICHART",
            "middle_name": "LYNNE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Troy, PA

Sources for this page

Verify at the official NPI Registry.