Individual provider Active NPI

Nicholas Joseph McColley, O.D.

  • Optometrist
  • Greenfield, IN
National Provider Identifier
1104277920
Registry record updated Jul 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
18004149A Issued in IN
Practice address
1451 Jason Rd
Greenfield, IN 46140-1039
Phone
(317) 462-6601
Fax
(317) 462-6625
NPI assigned
Jun 22, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 18004149A IN Primary

Addresses

Primary practice location

1451 Jason Rd
Greenfield, IN 46140-1039

Mailing address

1451 Jason Rd
Greenfield, IN 46140-1039
Phone (317) 462-6601

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, OK, AR, IN4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20160802002452 TX Practitioner - Optometry 2860785326 Reassigns benefits to 1 organization
I20160919000036 OK Practitioner - Optometry 2860785326 Reassigns benefits to 1 organization
I20160919000117 AR Practitioner - Optometry 2860785326 Reassigns benefits to 1 organization
I20191226001938 IN Practitioner - Optometry 2860785326 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hancock Eye Associates PCGroup PAC ID 1951456573, 5 clinicians
McColley Eyecare Professional CorporationGroup PAC ID 2567900319, 5 clinicians

Practice addresses (Care Compare)

1451 Jason Rd
Greenfield, IN 46140-1039
Phone (317) 462-6601

5813 Main St
McCordsville, IN 46055-0000
Phone (317) 462-6601

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery41

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8960TXMDClinical Social Worker
2752ARMDGeneral Practice Dentistry
2898OKMDRegistered Dietitian
18004149AINMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Med Southwest, PLLC Optometrist CurrentSince Apr 1, 2019 Accepting new patients
McColley Eyecare Professional Corporation Optometrist CurrentSince Jul 15, 2024 Accepting new patients
Med Southwest, PLLC Optometrist CurrentSince Apr 1, 2019 Accepting new patients
Med Southwest, PLLC Optometrist CurrentSince Apr 1, 2019 Accepting new patients
Hancock Eye Associates PC Optometrist CurrentSince Apr 1, 2020 Accepting new patients
Med Southwest, PLLC Optometrist Current Accepting new patients
Myeyedr Optometry of Indiana, LLC Optometrist CurrentSince Nov 11, 2019 Accepting new patients
Myeyedr Optometry of Indiana, LLC Optometrist Current Accepting new patients
Myeyedr Optometry of Indiana, LLC Optometrist CurrentSince Nov 11, 2019 Accepting new patients
Med Southwest, PLLC Optometrist CurrentSince Apr 1, 2019 Accepting new patients
Med Southwest, PLLC Optometrist Current Accepting new patients

Locations

410 N Main St
Ste 3
Nashville, AR 71852
Phone (501) 642-2677

114 E 49th St
Texarkana, AR 71854
Phone (870) 774-2020

9760 Lantern Rd
Fishers, IN 46037
Phone (317) 577-9200

1451 Jason Rd
Greenfield, IN 46140
Phone (317) 462-6601

804 Broad Ripple Ave
Indianapolis, IN 46220
Phone (317) 257-5421

5813 Main St
McCordsville, IN 46055
Phone (317) 462-6601

511 S Park Dr
Ste A
Broken Bow, OK 74728
Phone (580) 584-3434

1425 E Lincoln Rd
Ste A1
Idabel, OK 74745
Phone (580) 286-6000

6127 FM 1960 Rd W
Houston, TX 77069
Phone (281) 469-2020

2703 Richmond Rd
Texarkana, TX 75503
Phone (903) 838-0783

1950 Old Gallows Rd
Ste 520
Vienna, VA 22182

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

Organizations & group practices 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1466553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688601600000",
    "number": "1104277920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1451 JASON RD",
            "city": "GREENFIELD",
            "state": "IN",
            "postal_code": "461401039",
            "telephone_number": "317-462-6601",
            "fax_number": "317-462-6625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1451 JASON RD",
            "city": "GREENFIELD",
            "state": "IN",
            "postal_code": "461401039",
            "telephone_number": "317-462-6601",
            "fax_number": "317-462-6625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCOLLEY",
        "first_name": "NICHOLAS",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-22",
        "last_updated": "2023-07-06",
        "certification_date": "2023-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18004149A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenfield, IN

Sources for this page

Verify at the official NPI Registry.