NPIMap

Organization Active NPI

Daryl W. Hodges, O.D.

  • Optometrist
  • Greencastle, IN
National Provider Identifier
1205276755
Registry record updated Jun 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
18001787B Issued in IN
Legal business name
DARYL W. HODGES, O.D.
Practice address
814 E Washington St
Greencastle, IN 46135-1850
Phone
(765) 653-5896
Fax
(765) 653-4554
NPI assigned
Jun 28, 2013
Last updated
Jun 28, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2013

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

Authorized official

Name
Dr. Daryl W Hodges, O.D.NPI 1235119074
Title
Owner
Phone
(765) 653-5896

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 18001787B IN Primary

Addresses

Primary practice location

814 E Washington St
Greencastle, IN 46135-1850

Mailing address

814 E Washington St
Greencastle, IN 46135-1850
Phone (765) 653-5896

Other identifiers 1

IdentifierTypeStateIssuer
100210920AMedicaidIN

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1372377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372377600000",
    "number": "1205276755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "814 E WASHINGTON ST",
            "city": "GREENCASTLE",
            "state": "IN",
            "postal_code": "461351850",
            "telephone_number": "765-653-5896",
            "fax_number": "765-653-4554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "814 E WASHINGTON ST",
            "city": "GREENCASTLE",
            "state": "IN",
            "postal_code": "461351850",
            "telephone_number": "765-653-5896",
            "fax_number": "765-653-4554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DARYL W. HODGES, O.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-28",
        "last_updated": "2013-06-28",
        "status": "A",
        "authorized_official_last_name": "HODGES",
        "authorized_official_first_name": "DARYL",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "765-653-5896",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18001787B",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100210920A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greencastle, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.