Individual provider Active NPI

Joseph Richard Woodley, OD

  • Corneal and Contact Management Optometrist
  • Somerset, PA
National Provider Identifier
1366586497
Registry record updated Sep 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Corneal and Contact Management OptometristTaxonomy code 152WC0802X
License
OEG000197 Issued in PA
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

Updated by the provider on Sep 16, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
01887557MedicaidPA
6175207OtherPACIGNA
051407OtherPAUMWA
1349779OtherPAPA BC BS
311352OtherPAUPMC
1531122OtherPAGATEWAY HEALTH PLAN
410047141OtherPAPA RAILROAD MEDICARE
U87145OtherPAHEALTH 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031118000665 PA Practitioner - Optometry 1456265909 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Visionworks, Inc CurrentSince Mar 14, 2022 Accepting new patients
Visionworks, Inc. CurrentSince Mar 14, 2022 Accepting new patients
Advanced Eyecare Solutions LLC Corneal and Contact Management CurrentSince Nov 1, 2014 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.

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

Verify at the official NPI Registry.