Individual provider Active NPI

Emily Rose Moody, OD

  • Optometrist
  • Hendersonville, TN
National Provider Identifier
1124696505
Registry record updated Jun 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3689 Issued in TN
Practice address
386 W Main St Ste 104
Hendersonville, TN 37075-3350
Phone
(615) 338-3602
NPI assigned
Jun 14, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3689 TN Primary

Addresses

Primary practice location

386 W Main St Ste 104
Hendersonville, TN 37075-3350

Mailing address

2407 8TH Ave S Apt 305
Nashville, TN 37204-2454
Phone (870) 530-2784

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20210917001794 TN Practitioner - Optometry 6406253426 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eyecare Plus GH PLLCGroup PAC ID 7719891290, 6 clinicians
Eyecare Plus CL PLLCGroup PAC ID 3870407406, 4 clinicians
Eyecare Plus HV PLLCGroup PAC ID 2769457480, 4 clinicians
Eyecare Plus MB PLLCGroup PAC ID 0840581427, 5 clinicians
Eyecare Plus HH, PLLCGroup PAC ID 7719891076, 5 clinicians

Practice addresses (Care Compare)

1911 Glen Echo Rd
Nashville, TN 37215-2805
Phone (615) 298-2669

1911 Glen Echo Rd B
Nashville, TN 37215-2805

2024 Wilma Rudolph Blvd
Suite C
Clarksville, TN 37040-6879
Phone (931) 551-3031

386 W Main St
Suite 104
Hendersonville, TN 37075-3350
Phone (615) 338-3602

419 Memorial Blvd
Murfreesboro, TN 37129-2759
Phone (615) 601-3888

5323 Mount View Rd
Antioch, TN 37013-2308
Phone (615) 731-8900

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3689TNMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Eyecare Plus GH PLLC Optometrist CurrentSince Jul 19, 2021 Accepting new patients
Eyecare Plus HH, PLLC Optometrist CurrentSince Jul 19, 2021 Accepting new patients
Eyecare Plus Ca,PLLC Optometrist CurrentSince Jul 19, 2021 Accepting new patients
Eyecare Plus MB PLLC Optometrist CurrentSince Jul 19, 2021 Accepting new patients
Achziger Vision Center Past Accepting new patients

Locations

5323 Mount View Rd
Antioch, TN 37013
Phone (615) 731-8900

816 S James M Campbell Blvd
Columbia, TN 38401
Phone (931) 540-0700

419 Memorial Blvd
Murfreesboro, TN 37129
Phone (615) 601-3888

1911 Glen Echo Rd
Ste B
Nashville, TN 37215
Phone (615) 298-2669

1911 Glen Echo Rd
Nashville, TN 37215
Phone (615) 298-2668

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1623628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623628800000",
    "number": "1124696505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2407 8TH AVE S APT 305",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372042454",
            "telephone_number": "870-530-2784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "386 W MAIN ST STE 104",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370753350",
            "telephone_number": "615-338-3602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOODY",
        "first_name": "EMILY",
        "middle_name": "ROSE",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-14",
        "last_updated": "2021-06-14",
        "certification_date": "2021-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "3689",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hendersonville, TN

Sources for this page

Verify at the official NPI Registry.