Organization Active NPI

McColley Eyecare Professional Corporation

Doing business as Hancock Eye Associates

  • Optometrist
  • McCordsville, IN
National Provider Identifier
1932948684
Registry record updated May 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
MCCOLLEY EYECARE PROFESSIONAL CORPORATION
Doing business as
Hancock Eye Associates
Practice address
5813 Main St
McCordsville, IN 46055
Phone
(317) 462-6601
NPI assigned
May 22, 2024
Last updated
May 22, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2024

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

Authorized official

Name
Nicholas McColley, ODNPI 1104277920
Title
Owner/Optometrist
Phone
(317) 462-6601

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X NU Primary

Addresses

Primary practice location

5813 Main St
McCordsville, IN 46055

Mailing address

5813 Main St
McCordsville, IN 46055
Phone (317) 462-6601

Other names 1

  • Hancock Eye Associates Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20240812003787 IN Part B Supplier - Clinic/Group Practice 2567900319 Receives reassigned benefits from 5 practitioners
Practice locations: McCordsville, IN
O20250308000097 IN DME Supplier - Physician - Optometrist 2567900319 Practice locations: McCordsville, IN

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
McColley Eyecare Professional Corpo5813 Main St, McCordsville, IN 46055-9865(317) 462-0601 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses Accepts assignmentParticipating since Jul 15, 2024

National Provider Directory

National Provider Directory

Locations

5813 Main St
McCordsville, IN 46055
Phone (317) 462-6601

Practitioners & affiliated clinicians

Practitioners 5

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": "1716336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716336000000",
    "number": "1932948684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5813 MAIN ST",
            "city": "MCCORDSVILLE",
            "state": "IN",
            "postal_code": "46055",
            "telephone_number": "317-462-6601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5813 MAIN ST",
            "city": "MCCORDSVILLE",
            "state": "IN",
            "postal_code": "46055",
            "telephone_number": "317-462-6601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCCOLLEY EYECARE PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-22",
        "last_updated": "2024-05-22",
        "certification_date": "2024-05-03",
        "status": "A",
        "authorized_official_last_name": "MCCOLLEY",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_title_or_position": "OWNER/OPTOMETRIST",
        "authorized_official_telephone_number": "317-462-6601",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hancock Eye Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in McCordsville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.