Individual provider Active NPI

Hayley Lynn Woodall, O.D.

  • Optometrist
  • Lancaster, PA
National Provider Identifier
1124156526
Registry record updated Mar 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG001874 Issued in PA
Practice address
2104 Spring Valley Rd
Lancaster, PA 17601-2427
Phone
(717) 541-9700
Fax
(717) 947-7997
NPI assigned
Feb 28, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 803 MS
Optometrist 152W00000X 2689 TN
Optometrist 152W00000X OEG001874 PA Primary

Addresses

Primary practice location

2104 Spring Valley Rd
Lancaster, PA 17601-2427

Mailing address

2104 Spring Valley Rd
Lancaster, PA 17601-2427
Phone (717) 541-9700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20150206000821 PA Practitioner - Optometry 1557413671 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
Conestoga Eye PCGroup PAC ID 1456669894, 7 clinicians

Practice addresses (Care Compare)

2104 Spring Valley Rd
Lancaster, PA 17601-2427
Phone (717) 541-9700

825 Fishburn Rd
Hershey, PA 17033-2015
Phone (717) 541-9700

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
803MSMDOptometrist
OEG001874PAMDOptometrist
2689TNMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Conestoga Eye PC CurrentSince Nov 1, 2016 Accepting new patients

Locations

338 Alexander Spring Rd
#A
Carlisle, PA 17015
Phone (717) 541-9700

825 Fishburn Rd
Hershey, PA 17033
Phone (717) 533-5200

2104 Spring Valley Rd
Lancaster, PA 17601
Phone (717) 541-9700

Interoperability endpoints

  • Direct secure messaging: hwoodall@occp.medentdirect.com

Organizations & group practices 1

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": "1172620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583107200000",
    "number": "1124156526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2104 SPRING VALLEY RD",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176012427",
            "telephone_number": "717-541-9700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2104 SPRING VALLEY RD",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176012427",
            "telephone_number": "717-541-9700",
            "fax_number": "717-947-7997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODALL",
        "first_name": "HAYLEY",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-28",
        "last_updated": "2020-03-02",
        "certification_date": "2020-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MS",
            "license": "803",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "2689",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG001874",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, PA

Sources for this page

Verify at the official NPI Registry.