Individual provider Active NPI

James A. Woodmansee, O.D.

  • Optometrist
  • Grand Forks, ND
National Provider Identifier
1912008335
Registry record updated Sep 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
557 Issued in ND
Practice address
3750 32ND Ave S
Suite 109
Grand Forks, ND 58201-5998
Phone
(701) 780-8726
Fax
(701) 780-1284
NPI assigned
Sep 26, 2006
Last updated
Sep 25, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 25, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 557 ND Primary

Addresses

Primary practice location

3750 32ND Ave S
Suite 109
Grand Forks, ND 58201-5998

Mailing address

3750 32ND Ave S
Suite 109
Grand Forks, ND 58201-5998
Phone (701) 780-8726

Other identifiers 8

IdentifierTypeStateIssuer
551545OtherNVA
60499MedicaidND
13459OtherSPECTERA
A001OtherTRICARE
14196OtherNORIDIAN MUTUAL
800557OtherNDND VISION SERVICES
POO219448/DD2923OtherRRMDCR
48409OtherDAVIS VISION

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND
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
I20040716001130 ND Practitioner - Optometry 7315926946 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3750 32ND Ave S
Suite 109
Grand Forks, ND 58201-5998
Phone (701) 780-8726

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
James a. Woodmansee. OD, PC Optometrist CurrentSince Apr 15, 2005 Accepting new patients
Cameron Deschamp OD PC Optometrist Past Accepting new patients

Locations

2551 32nd Ave S
Grand Forks, ND 58201
Phone (701) 746-6745

3750 32nd Ave S
Ste 109
Grand Forks, ND 58201
Phone (701) 780-8726

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, 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": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348531200000",
    "number": "1912008335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3750 32ND AVE S",
            "address_2": "SUITE 109",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582015998",
            "telephone_number": "701-780-8726",
            "fax_number": "701-780-1284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3750 32ND AVE S",
            "address_2": "SUITE 109",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582015998",
            "telephone_number": "701-780-8726",
            "fax_number": "701-780-1284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODMANSEE",
        "first_name": "JAMES",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-26",
        "last_updated": "2012-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "ND",
            "license": "557",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NVA",
            "identifier": "551545",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "60499",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPECTERA",
            "identifier": "13459",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "A001",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NORIDIAN MUTUAL",
            "identifier": "14196",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ND VISION SERVICES",
            "identifier": "800557",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRMDCR",
            "identifier": "POO219448/DD2923",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DAVIS VISION",
            "identifier": "48409",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Forks, ND

Sources for this page

Verify at the official NPI Registry.