Individual provider Active NPI

Daniel Donald Wendorff, O.D.

  • Occupational Vision Optometrist
  • Greenwood, IN
National Provider Identifier
1205900214
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Vision OptometristTaxonomy code 152WX0102X
License
18002327A Issued in IN
Practice address
1251 US Highway 31 N
Greenwood, IN 46142-4503
Phone
(317) 887-2732
Fax
(317) 865-8121
NPI assigned
Nov 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Corneal and Contact Management Optometrist 152WC0802X 18002327A IN
Pediatric Optometrist 152WP0200X 18002327A IN
Sports Vision Optometrist 152WS0006X 18002327A IN
Occupational Vision Optometrist 152WX0102X 18002327A IN Primary

Addresses

Primary practice location

1251 US Highway 31 N
Greenwood, IN 46142-4503

Mailing address

1251 US Highway 31 N
Greenwood, IN 46142-4503
Phone (317) 887-2732

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20101025000732 IN Practitioner - Optometry 6507762952 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dan Wendorff OD PCGroup PAC ID 1456257898, 3 clinicians

Practice addresses (Care Compare)

8603 S Emerson Ave
Indianapolis, IN 46237-9851
Phone (317) 887-2732

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery47

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Dan Wendorff OD PC Corneal and Contact Management CurrentSince Apr 1, 2001 Accepting new patients

Locations

1251 US Highway 31 N
Spc 130
Greenwood, IN 46142
Phone (317) 887-2732

1251 US Highway 31 N
Greenwood, IN 46142
Phone (317) 865-8368

8603 S Emerson Ave
Ste 105
Indianapolis, IN 46237
Phone (317) 887-2732

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": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1205900214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1251 US HIGHWAY 31 N",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461424503",
            "telephone_number": "317-887-2732",
            "fax_number": "317-865-8121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1251 US HIGHWAY 31 N",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461424503",
            "telephone_number": "317-887-2732",
            "fax_number": "317-865-8121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WENDORFF",
        "first_name": "DANIEL",
        "middle_name": "DONALD",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-20",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "IN",
            "license": "18002327A",
            "primary": false
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": "IN",
            "license": "18002327A",
            "primary": false
        },
        {
            "code": "152WS0006X",
            "taxonomy_group": "",
            "desc": "Optometrist, Sports Vision",
            "state": "IN",
            "license": "18002327A",
            "primary": false
        },
        {
            "code": "152WX0102X",
            "taxonomy_group": "",
            "desc": "Optometrist, Occupational Vision",
            "state": "IN",
            "license": "18002327A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwood, IN

Sources for this page

Verify at the official NPI Registry.