Individual provider Active NPI

Joseph Paul Winberry Jr., OD

  • Optometrist
  • Carlisle, PA
National Provider Identifier
1336136464
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OET009052 Issued in PA
Practice address
40 Noble Blvd
Carlisle, PA 17013-4122
Phone
(717) 218-6656
NPI assigned
Oct 4, 2005
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 270A00478900 NJ
Optometrist 152W00000X OET009052 PA Primary

Addresses

Primary practice location

40 Noble Blvd
Carlisle, PA 17013-4122

Mailing address

6 Kacey Court
Suite 205
Mechanicsburg, PA 17055
Phone (717) 591-1234

Other practice location 1

6 Kacey Court
Suite 205
Mechanicsburg, PA 17055
Phone (717) 591-1234

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
I20040910000871 PA Practitioner - Optometry 2264409143 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
77.26 of 100Reported as group
Quality
68.27
Improvement activities
40
Cost
66.52

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
270A00478900NJMDOptometrist
OET009052PAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of Pennsylvania, LLC Optometrist Current Accepting new patients
Myeyedr Optometry of Pennsylvania, LLC Optometrist CurrentSince Oct 8, 2016 Accepting new patients
May Eye Care PC CurrentSince Jul 18, 2023 Accepting new patients
Myeyedr Optometry of Pennsylvania, LLC Optometrist CurrentSince Oct 8, 2016 Accepting new patients
America's Best Contacts & Eyeglasses Past Accepting new patients

Locations

319 York Rd
Carlisle, PA 17013
Phone (717) 258-4422

40 Noble Blvd
Carlisle, PA 17013
Phone (717) 218-6656

1039 Wayne Ave
Chambersburg, PA 17201
Phone (717) 263-2389

125 S Antrim Way
Greencastle, PA 17225
Phone (717) 597-4780

250 Fame Ave
Ste 225
Hanover, PA 17331
Phone (717) 524-1411

1950 Old Gallows Rd
Ste 520
Vienna, VA 22182

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1128384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1336136464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 KACEY COURT",
            "address_2": "SUITE 205",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "17055",
            "telephone_number": "717-591-1234",
            "fax_number": "717-591-9112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 NOBLE BLVD",
            "city": "CARLISLE",
            "state": "PA",
            "postal_code": "170134122",
            "telephone_number": "717-218-6656"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6 Kacey Court",
            "address_2": "Suite 205",
            "address_purpose": "LOCATION",
            "city": "Mechanicsburg",
            "state": "PA",
            "postal_code": "17055",
            "country_code": "US",
            "telephone_number": "717-591-1234",
            "fax_number": "717-591-9112",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WINBERRY",
        "first_name": "JOSEPH",
        "middle_name": "PAUL",
        "name_suffix": "Jr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-04",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "270A00478900",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OET009052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carlisle, PA

Sources for this page

Verify at the official NPI Registry.