Individual provider Active NPI

Nicholas James Woodall, O.D.

  • Optometrist
  • Greencastle, IN
National Provider Identifier
1598103806
Registry record updated May 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
18003791A Issued in IN
Practice address
316 Medic Way
Greencastle, IN 46135-2296
Phone
(765) 653-5896
Fax
(765) 653-4554
NPI assigned
Jun 8, 2013
Last updated
May 26, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 18003791A IN Primary

Addresses

Primary practice location

316 Medic Way
Greencastle, IN 46135-2296

Mailing address

316 Medic Way
Greencastle, IN 46135-2296
Phone (765) 653-5896

Other identifiers 1

IdentifierTypeStateIssuer
300100316MedicaidIN

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
I20130826000329 IN Practitioner - Optometry 4082857917 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hodges Woodall Optometry PCGroup PAC ID 7911211107, 3 clinicians

Practice addresses (Care Compare)

316 Medic Way
Greencastle, IN 46135-2296
Phone (765) 653-5896

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery59

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Hodges Woodall Optometry, PC Optometrist CurrentSince Sep 15, 2015 Accepting new patients
Daryl W. Hodges, O.D. Optometrist Past Accepting new patients

Locations

316 Medic Way
Greencastle, IN 46135
Phone (765) 653-0000

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

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1370649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779753600000",
    "number": "1598103806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 MEDIC WAY",
            "city": "GREENCASTLE",
            "state": "IN",
            "postal_code": "461352296",
            "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": "316 MEDIC WAY",
            "city": "GREENCASTLE",
            "state": "IN",
            "postal_code": "461352296",
            "telephone_number": "765-653-5896",
            "fax_number": "765-653-4554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODALL",
        "first_name": "NICHOLAS",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-08",
        "last_updated": "2026-05-26",
        "certification_date": "2026-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18003791A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300100316",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greencastle, IN

Sources for this page

Verify at the official NPI Registry.