Organization Active NPI

Moody Eyes LLC

  • Optometrist
  • Indianapolis, IN
National Provider Identifier
1033242367
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
18001808B Issued in IN
Legal business name
MOODY EYES LLC
Practice address
8936 Southpointe Dr
Suite C-5
Indianapolis, IN 46227-7507
Phone
(317) 883-1122
Fax
(317) 883-1139
NPI assigned
Mar 14, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. D Penn Moody, O.D.NPI 1952369282
Title
Owner
Phone
(317) 883-1122

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 18001808B IN Primary

Addresses

Primary practice location

8936 Southpointe Dr
Suite C-5
Indianapolis, IN 46227-7507

Mailing address

8936 Southpointe Dr
Suite C-5
Indianapolis, IN 46227-7507
Phone (317) 883-1122

National Provider Directory

National Provider Directory

Locations

8936 Southpointe Dr
Ste C5
Indianapolis, IN 46227
Phone (317) 403-3483

Practitioners & affiliated clinicians

Practitioners 2

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": "1173830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1033242367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8936 SOUTHPOINTE DR",
            "address_2": "SUITE C-5",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462277507",
            "telephone_number": "317-883-1122",
            "fax_number": "317-883-1139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8936 SOUTHPOINTE DR",
            "address_2": "SUITE C-5",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462277507",
            "telephone_number": "317-883-1122",
            "fax_number": "317-883-1139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOODY EYES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MOODY",
        "authorized_official_first_name": "D",
        "authorized_official_middle_name": "PENN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-883-1122",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18001808B",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.