Joseph Edward Ellwood, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OEG002764 Issued in PA

Practice address

201 E Laurel Blvd
Pottsville, PA 17901-2534

Phone

(570) 628-4444

Fax

(570) 628-3088

NPI assigned

Jun 14, 2013

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Optometry

Education

Pennsylvania College of Optometry, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• King of Prussia Family Eye Care P.C.

  • Optometrist
  • King of Prussia, PA
  • NPI 1861054322
  Medicare reassignment NPD Authorized official
• Progressive Vision Institute of Philadelphia, PC

  • Ophthalmology Physician
  • Philadelphia, PA
  • NPI 1205878915
  NPD

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

{
    "created_epoch": "1371168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562284800000",
    "number": "1427496256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "860 FIRST AVE STE 1B",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194064033",
            "telephone_number": "610-265-0765",
            "fax_number": "610-265-6824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 E LAUREL BLVD",
            "city": "POTTSVILLE",
            "state": "PA",
            "postal_code": "179012534",
            "telephone_number": "570-628-4444",
            "fax_number": "570-628-3088"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "860 First Ave Ste 1B",
            "address_purpose": "LOCATION",
            "city": "King Of Prussia",
            "state": "PA",
            "postal_code": "194064033",
            "country_code": "US",
            "telephone_number": "610-265-0765",
            "fax_number": "610-265-6824",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELLWOOD",
        "first_name": "JOSEPH",
        "middle_name": "EDWARD",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-14",
        "last_updated": "2019-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG002764",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102838030",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lenora Ann Edwards
• Norman J Egan, CRNA
• Phillip Ehrig Jr., DO
• Gregory J Elberfeld, M.D.
• Bernadette Elinsky
• Embassy of Pottsville LLC
• Alexis Elizabeth Emerich, RN
• Empire Transportation Services, LLC
• Empower the Mind, LLC
• Gina Marie Enders, RN

• Optometrist in Pottsville, PA
• Providers in Pottsville, PA by specialty
• Optometrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2019; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.