Individual provider Active NPI

Joshua Aaron Woodland, OD

  • Optometrist
  • Manchester, IA
National Provider Identifier
1699784868
Registry record updated Oct 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2461 Issued in IA
Practice address
105 E Butler St
Manchester, IA 52057-1606
Phone
(563) 927-3759
Fax
(563) 927-5582
NPI assigned
Aug 6, 2006
Last updated
Oct 20, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2461 IA Primary

Addresses

Primary practice location

105 E Butler St
Manchester, IA 52057-1606

Mailing address

1129 11TH St SE
Ste B
Dyersville, IA 52040-2418
Phone (563) 927-3759

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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
I20120327000654 IA Practitioner - Optometry 5698875441 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Woodland Eye Clinic PCGroup PAC ID 4486883998, 5 clinicians

Practice addresses (Care Compare)

104 N Walnut St
Woodland Eye Clinic
West Union, IA 52175-1418
Phone (563) 422-6085

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery38

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2461IAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Woodland Eye Clinic, PC Optometrist CurrentSince Oct 25, 2013 Accepting new patients
Woodland Eye Clinic, PC Optometrist CurrentSince Nov 25, 2013 Accepting new patients
Advanced Eyecare Associates of Eastern Iowa, P.C. Optometrist Past Accepting new patients
Woodland Eye Clinic, PC Optometrist PastSince Nov 4, 2013 Accepting new patients
Woodland Eye Clinic, PC Optometrist Past Accepting new patients
Advanced Eyecare Associates of Eastern Iowa PC Optometrist PastSince Jan 1, 2007 Accepting new patients

Locations

1129 11th St SE
Ste B
Dyersville, IA 52040
Phone (563) 581-0923

202 S Main St
Elkader, IA 52043
Phone (563) 245-2304

104 N Walnut St
West Union, IA 52175
Phone (563) 422-3626

Interoperability endpoints

  • Direct secure messaging: joshua.woodland@direct.revolutionehr.com

Organizations & group practices 7

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": "1154822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476921600000",
    "number": "1699784868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1129 11TH ST SE",
            "address_2": "STE B",
            "city": "DYERSVILLE",
            "state": "IA",
            "postal_code": "520402418",
            "telephone_number": "563-927-3759",
            "fax_number": "563-927-5582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 E BUTLER ST",
            "city": "MANCHESTER",
            "state": "IA",
            "postal_code": "520571606",
            "telephone_number": "563-927-3759",
            "fax_number": "563-927-5582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODLAND",
        "first_name": "JOSHUA",
        "middle_name": "AARON",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-06",
        "last_updated": "2016-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IA",
            "license": "2461",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manchester, IA

Sources for this page

Verify at the official NPI Registry.