Active NPI
Joseph Richard Woodley, OD
- Corneal and Contact Management Optometrist
- Somerset, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Corneal and Contact Management Optometrist
- License
- OEG000197
- Practice address
- 110 Revco Rd
Somerset, PA 15501-7726 - Phone
- (412) 860-9874
- Fax
- (814) 443-0590
- NPI assigned
- Feb 20, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Corneal and Contact Management Optometrist | 152WC0802X | OEG000197 | PA | Primary |
Addresses
Primary practice location
110 Revco Rd
Somerset, PA 15501-7726
Mailing address
103 Bradford Square Dr
Trafford, PA 15085-1250
Phone (412) 860-9874
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01887557 | Medicaid | PA | |
| 6175207 | Other | PA | CIGNA |
| 051407 | Other | PA | UMWA |
| 1349779 | Other | PA | PA BC BS |
| 311352 | Other | PA | UPMC |
| 1531122 | Other | PA | GATEWAY HEALTH PLAN |
| 410047141 | Other | PA | PA RAILROAD MEDICARE |
| U87145 | Other | PA | HEALTH AMERICA ADVANTRA |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Visionworks, Inc | Current | Accepting new patients | |
| Visionworks, Inc. | Current | Accepting new patients | |
| Advanced Eyecare Solutions LLC | Corneal and Contact Management | Current | Accepting new patients |
Locations
303 1st St
Charleroi, PA 15022
Phone (724) 483-3675
560 Millcreek Mall
Erie, PA 16565
Phone (814) 868-8540
2300 E Lincoln Hwy
Langhorne, PA 19047
Phone (215) 750-3760
253 Monroeville Mall
Monroeville, PA 15146
Phone (412) 372-3018
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.
-
- Optometrist
- Charleroi, PA
- NPI 1144557174
Corneal and Contact Management
-
- Optometrist
- Erie, PA
- NPI 1063579837
-
- Eyewear Supplier
- Simpsonville, SC
- NPI 1699571166
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171929600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1473984000000",
"number": "1366586497",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "103 BRADFORD SQUARE DR",
"city": "TRAFFORD",
"state": "PA",
"postal_code": "150851250",
"telephone_number": "412-860-9874",
"fax_number": "814-443-0590"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 REVCO RD",
"city": "SOMERSET",
"state": "PA",
"postal_code": "155017726",
"telephone_number": "412-860-9874",
"fax_number": "814-443-0590"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOODLEY",
"first_name": "JOSEPH",
"middle_name": "RICHARD",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-20",
"last_updated": "2016-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "152WC0802X",
"taxonomy_group": "",
"desc": "Optometrist, Corneal and Contact Management",
"state": "PA",
"license": "OEG000197",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01887557",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "6175207",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UMWA",
"identifier": "051407",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PA BC BS",
"identifier": "1349779",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UPMC",
"identifier": "311352",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GATEWAY HEALTH PLAN",
"identifier": "1531122",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PA RAILROAD MEDICARE",
"identifier": "410047141",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH AMERICA ADVANTRA",
"identifier": "U87145",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Somerset, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.