Active NPI
Joanna Bomkamp Gebhardt, O.D.
- Optometrist
- Iowa City, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 113033
- Practice address
- 200 Hawkins Dr
Iowa City, IA 52242-1009 - Phone
- (319) 356-2852
- Fax
- (319) 356-1520
- NPI assigned
- Jul 27, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 18003923A | IN | |
| Optometrist | 152W00000X | 046.010437 | IL | |
| Optometrist | 152W00000X | 5199 | MA | |
| Corneal and Contact Management Optometrist | 152WC0802X | 113033 | IA | |
| Optometrist | 152W00000X | 113033 | IA | Primary |
Addresses
Primary practice location
200 Hawkins Dr
Iowa City, IA 52242-1009
Mailing address
200 Hawkins Dr
Iowa City, IA 52242-1009
Phone (319) 356-2852
Other practice location 1
150 S Huntington Ave
Boston, MA 02130-4817
Phone (617) 232-9500
Other practice location 2
289 Moody St
Waltham, MA 02453
Phone (781) 894-2127
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA, IA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Southern College of Optometry, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
200 Hawkins Dr
Iowa City, IA 52242-1009
Phone (319) 356-1616
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 80.02 of 100
- Quality
- 75.68
- Promoting interoperability
- 78
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 046.010437 | IL | MD | Optometrist |
| 18003923A | IN | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ejc Eyecare, LLC | Optometrist | Current | Accepting new patients |
| State University of Iowa | Current | Accepting new patients | |
| John Magalhaes and Associates, Inc. | Optometrist | Current | Accepting new patients |
| State University of Iowa | Past | Accepting new patients |
Locations
105 E 9th St
Iowa City, IA 52241
Phone (319) 467-2000
200 Hawkins Dr
#H
Iowa City, IA 52242
Phone (319) 356-1616
200 Hawkins Dr
Iowa City, IA 52242
Phone (319) 356-1616
382 State Rd
North Dartmouth, MA 02747
Phone (508) 717-0425
289 Moody St
Waltham, MA 02453
Phone (781) 894-0081
Interoperability endpoints
- jgebhardt241279@uihcdirect.org
Organizations & group practices 4
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.
-
- Family Medicine Physician
- Iowa City, IA
- NPI 1477554814
-
- Optometrist
- Waltham, MA
- NPI 1235368275
-
- Optometrist
- N Dartmouth, MA
- NPI 1790900884
-
- Student Health Clinic/Center
- Iowa City, IA
- NPI 1285635664
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Iowa City, IA
- NPI 1376544320
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1311724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1657584000000",
"number": "1730467549",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 HAWKINS DR",
"city": "IOWA CITY",
"state": "IA",
"postal_code": "522421009",
"telephone_number": "319-356-2852",
"fax_number": "319-356-1520"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 HAWKINS DR",
"city": "IOWA CITY",
"state": "IA",
"postal_code": "522421009",
"telephone_number": "319-356-2852",
"fax_number": "319-356-1520"
}
],
"practiceLocations": [
{
"address_1": "150 S Huntington Ave",
"address_purpose": "LOCATION",
"city": "Boston",
"state": "MA",
"postal_code": "021304817",
"country_code": "US",
"telephone_number": "617-232-9500",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "289 Moody St",
"address_purpose": "LOCATION",
"city": "Waltham",
"state": "MA",
"postal_code": "02453",
"country_code": "US",
"telephone_number": "781-894-2127",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GEBHARDT",
"first_name": "JOANNA",
"middle_name": "BOMKAMP",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-07-27",
"last_updated": "2022-07-12",
"certification_date": "2022-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "IN",
"license": "18003923A",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "IL",
"license": "046.010437",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MA",
"license": "5199",
"primary": false
},
{
"code": "152WC0802X",
"taxonomy_group": "",
"desc": "Optometrist, Corneal and Contact Management",
"state": "IA",
"license": "113033",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "IA",
"license": "113033",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Iowa City, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2022; 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.