DR. JOSHUA CARSON WOOLWINE (O.D.) – Optometrist, NPI 1215389754

DR. JOSHUA CARSON WOOLWINE (O.D.) is a healthcare provider. based in Tampa, Florida. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. OPC 5248 (FL). The NPI Number for DR. JOSHUA CARSON WOOLWINE (O.D.) is 1215389754

Main info

Male
Sole Proprietor
10 Years Of Experience
Accepts Medicare Assignment
Name
DR. JOSHUA CARSON WOOLWINE (O.D.)
NPI
1215389754
Phone
Not provided
Address
5107 ALICE RD
Enumeration Date
8 July 2016
Last Update Date
1 October 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8133851873
Graduation Year
2016 (10 years ago)
PAC ID
3375830888
Group Practice PAC ID
0042123846
Professional Enrollment ID
I20160928000010
Address ID
FL336344499TA5607XRDXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:9State licenses:1Digital endpointsOther names

2,055 OPTOMETRY in FL

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Provider Addresses for DR. JOSHUA CARSON WOOLWINE (O.D.)

  • 5107 ALICE RD

    TAMPA, FL 336242003

    Phone:

    Type: Mailing

  • North Dale Mabry Highway, Tampa, Hillsborough County, Florida, 33614, United States

    TAMPA, FL 336181801

    Phone: (813) 960-8318

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $99.

Total Amount is formed as General ($99) + Research ($0) + Ownership ($0) = $99.

Last reported payment date: 2024-03-28 • Largest payer in this snapshot: Bausch & Lomb Americas Inc. ($71).

Total Amount

$99

General + Research + Ownership

Payments

5

Total payment records

General Amount

$99

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-03-28

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2016-09-28

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20160928000010IOptometryFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33624)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0042123846View full group profile
NameSpecialtyState
O P T O M E T R YFL
O P T O M E T R YFL
O P T O M E T R YFL
O P T O M E T R YFL
O P T O M E T R YFL
O P T O M E T R YFL
O P T O M E T R YFL
O P T O M E T R YFL
O P T O M E T R YFL
O P T O M E T R YFL

Reviews

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Frequently asked questions

Can I cross-check DR. JOSHUA CARSON WOOLWINE (O.D.) using NPI 1215389754?
NPI 1215389754 belongs to DR. JOSHUA CARSON WOOLWINE (O.D.); compare other details if you need extra assurance.
Is DR. JOSHUA CARSON WOOLWINE (O.D.) still an active registrant?
DR. JOSHUA CARSON WOOLWINE (O.D.) carries an active NPI according to the public dataset.
What area of care is associated with DR. JOSHUA CARSON WOOLWINE (O.D.)?
DR. JOSHUA CARSON WOOLWINE (O.D.)'s record emphasizes Optometrist. Clinical services aligned with this taxonomy classification.
Is DR. JOSHUA CARSON WOOLWINE (O.D.) located near Tampa?
DR. JOSHUA CARSON WOOLWINE (O.D.) currently maps to Tampa, Florida in this extract.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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