Individual provider Active NPI

Joshua Everett Vanderhoof, OD

  • Optometrist
  • Oneida, NY
National Provider Identifier
1396305934
Registry record updated Aug 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV008954 Issued in NY
Practice address
131 Main St Ste 201
Oneida, NY 13421-1641
Phone
(315) 363-1110
NPI assigned
Jun 17, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TUV008954 NY Primary

Addresses

Primary practice location

131 Main St Ste 201
Oneida, NY 13421-1641

Mailing address

4155 Westwind Dr
Vernon, NY 13476-4629
Phone (315) 271-7347

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20190726001066 NY Practitioner - Optometry 0749516805 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TUV008954NYMDOptometrist
008954NYMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Costello Eye Physicians & Surgeons, PLLC Optometrist CurrentSince Jun 20, 2019 Accepting new patients
Ia Health Medicine PLLC PastSince Jul 13, 2025 Accepting new patients

Locations

2730 State Route 12B
Hamilton, NY 13346
Phone (315) 797-8330

131 Main St
Ste 201
Oneida, NY 13421
Phone (315) 363-1110

131 Main St
Oneida, NY 13421
Phone (315) 366-0360

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/Freedom_CEP
  • Direct secure messaging: jvanderhoof@ceps2056.srs-direct.com

Organizations & group practices 2

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": "1560729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629244800000",
    "number": "1396305934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4155 WESTWIND DR",
            "city": "VERNON",
            "state": "NY",
            "postal_code": "134764629",
            "telephone_number": "315-271-7347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 MAIN ST STE 201",
            "city": "ONEIDA",
            "state": "NY",
            "postal_code": "134211641",
            "telephone_number": "315-363-1110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDERHOOF",
        "first_name": "JOSHUA",
        "middle_name": "EVERETT",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-17",
        "last_updated": "2021-08-18",
        "certification_date": "2021-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV008954",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oneida, NY

Sources for this page

Verify at the official NPI Registry.