Active NPI
Everett Albert Moody, M.D.
- Ophthalmology Physician
- Irving, TX
National Provider Identifier
1154326726
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- D0977
- Practice address
- 3200 N Macarthur Blvd
Ste 200
Irving, TX 75062-4404 - Phone
- (972) 258-7979
- Fax
- (972) 570-5502
- NPI assigned
- Jun 20, 2005
- Reactivated
- Mar 24, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | D0977 | TX | Primary |
Addresses
Primary practice location
3200 N Macarthur Blvd
Ste 200
Irving, TX 75062-4404
Mailing address
3200 N Macarthur Blvd
Ste 200
Irving, TX 75062-4404
Phone (972) 258-7979
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 74309 | Other | TX | AMERIGROUP ID |
| 8091K0 | Other | TX | BLUE CROSS BLUE SHEILD |
| 9001 | Other | TX | COMMISSION FOR THE BLIND |
| 4821 | Other | TX | PARKLAND MEDICAID ID |
| 11369 | Other | TX | OPTICARE ID |
| 2224973 | Other | TX | BLUE LINK ID |
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0977 | TX | MD | Ophthalmology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1154326726",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3200 N MACARTHUR BLVD",
"address_2": "STE 200",
"city": "IRVING",
"state": "TX",
"postal_code": "750624404",
"telephone_number": "972-258-7979",
"fax_number": "972-570-5502"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3200 N MACARTHUR BLVD",
"address_2": "STE 200",
"city": "IRVING",
"state": "TX",
"postal_code": "750624404",
"telephone_number": "972-258-7979",
"fax_number": "972-570-5502"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOODY",
"first_name": "EVERETT",
"middle_name": "ALBERT",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-20",
"last_updated": "2026-07-13",
"certification_date": "2021-06-01",
"deactivation_date": "2006-03-20",
"reactivation_date": "2006-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "TX",
"license": "D0977",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIGROUP ID",
"identifier": "74309",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHEILD",
"identifier": "8091K0",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMMISSION FOR THE BLIND",
"identifier": "9001",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PARKLAND MEDICAID ID",
"identifier": "4821",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OPTICARE ID",
"identifier": "11369",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE LINK ID",
"identifier": "2224973",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Irving, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.