NPIMap

Individual provider Active NPI

Larry Dean Moomey, OD

  • Optometrist
  • Lexington, NE
National Provider Identifier
1043397599
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
769 Issued in NE
Practice address
801 No Grant
Lexington, NE 68850
Phone
(308) 324-5631
Fax
(308) 324-3096
NPI assigned
Nov 1, 2006
Sex
Male
Sole proprietor
No

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 and National Provider Directory roles.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
769NEMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Lexington Family Eyecare Optometrist Past Accepting new patients
Lexington Family Eyecare Optometrist Past Accepting new patients

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 769 NE Primary

Addresses

Primary practice location

801 No Grant
Lexington, NE 68850

Mailing address

Box 637
Lexington, NE 68850-0637
Phone (308) 324-5631

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1043397599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "BOX 637",
            "city": "LEXINGTON",
            "state": "NE",
            "postal_code": "688500637",
            "telephone_number": "308-324-5631",
            "fax_number": "308-324-3096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 NO GRANT",
            "city": "LEXINGTON",
            "state": "NE",
            "postal_code": "68850",
            "telephone_number": "308-324-5631",
            "fax_number": "308-324-3096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOOMEY",
        "first_name": "LARRY",
        "middle_name": "DEAN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NE",
            "license": "769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.