Organization Active NPI

Moody Optical Co. Inc

  • Eyewear Supplier
  • Ashland, MA
National Provider Identifier
1265601819
Registry record updated Feb 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
1955 Issued in MA
Legal business name
MOODY OPTICAL CO. INC
Practice address
25 W Union St
Ashland, MA 01721-1465
Phone
(508) 881-4800
Fax
(508) 881-7806
NPI assigned
Feb 28, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2008

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

Authorized official

Name
Sonda Carol Moody-McCarthy, D.O.
Title
Optician
Phone
(508) 881-4800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X 1955 MA Primary

Addresses

Primary practice location

25 W Union St
Ashland, MA 01721-1465

Mailing address

25 W Union St
Ashland, MA 01721-1465
Phone (508) 881-4800

Other identifiers 1

IdentifierTypeStateIssuer
1599062MedicaidMA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1204156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204156800000",
    "number": "1265601819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 W UNION ST",
            "city": "ASHLAND",
            "state": "MA",
            "postal_code": "017211465",
            "telephone_number": "508-881-4800",
            "fax_number": "508-881-7806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 W UNION ST",
            "city": "ASHLAND",
            "state": "MA",
            "postal_code": "017211465",
            "telephone_number": "508-881-4800",
            "fax_number": "508-881-7806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOODY OPTICAL CO. INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-28",
        "last_updated": "2008-02-28",
        "status": "A",
        "authorized_official_last_name": "MOODY-MCCARTHY",
        "authorized_official_first_name": "SONDA",
        "authorized_official_middle_name": "CAROL",
        "authorized_official_title_or_position": "OPTICIAN",
        "authorized_official_telephone_number": "508-881-4800",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "MA",
            "license": "1955",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1599062",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashland, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2008; 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.