Leslie Suzanne Woodall, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

18003788A Issued in IN

Practice address

814 E Washington St
Greencastle, IN 46135-1850

Phone

(765) 653-5896

Fax

(765) 653-4554

NPI assigned

Jun 8, 2013

Last updated

Mar 17, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dr. Leslie Suzanne Harman Former name

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

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)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Hodges Woodall Optometry, PC

  • Optometrist
  • Greencastle, IN
  • NPI 1457741118
  Medicare reassignment Care Compare group NPD
• Daryl W. Hodges, O.D.

  • Optometrist
  • Greencastle, IN
  • NPI 1205276755
  NPD (past)

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

{
    "created_epoch": "1370649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584403200000",
    "number": "1750729067",
    "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": {
        "last_name": "WOODALL",
        "first_name": "LESLIE",
        "middle_name": "SUZANNE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-08",
        "last_updated": "2020-03-17",
        "certification_date": "2020-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18003788A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201169700A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LESLIE",
            "last_name": "HARMAN",
            "middle_name": "SUZANNE",
            "prefix": "DR.",
            "credential": "O.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Esther L. Wilson, RN, FNP
• Gerald Wilson, DPT
• Paul Thomas Wilson, LMHC, LMFT, LSW
• Rebecca Lynn Wilson
• Kelley Elizabeth Wood, NP
• Nicholas James Woodall, O.D.
• Lesley Woodruff, DPT
• Lauren Woodsmall, MA, CCC-SLP
• Frank A Workman, MD
• Angela Lunceford Wren, OTR/L

• Optometrist in Greencastle, IN
• Providers in Greencastle, IN by specialty
• Optometrist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.