Active NPI
Madison McKinney Moss, OD
- Optometrist
- Cary, NC
National Provider Identifier
1275159873
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2647
- Practice address
- 1400 Crescent GRN Ste 305
Cary, NC 27518-8118 - Phone
- (919) 850-5910
- Fax
- (919) 701-4641
- NPI assigned
- Jun 19, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 2020015993 | MO | |
| Corneal and Contact Management Optometrist | 152WC0802X | 2647 | NC | |
| Corneal and Contact Management Optometrist | 152WC0802X | 2020015993 | MO | |
| Optometrist | 152W00000X | 2647 | NC | Primary |
Addresses
Primary practice location
1400 Crescent GRN Ste 305
Cary, NC 27518-8118
Mailing address
1400 Crescent GRN Ste 305
Cary, NC 27518-8118
Phone (919) 850-5910
Other names 1
- Madison Elizabeth McKinney
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2647 | NC | MD | Athletic Trainer |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carrboro Family Vision LLC | Optometrist | Current | Accepting new patients |
Locations
200 W Weaver St
Ste 1
Carrboro, NC 27510
Phone (919) 968-6300
Organizations & group practices 1
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.
-
- Optometrist
- Carrboro, NC
- NPI 1154340149
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1592524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741651200000",
"number": "1275159873",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1400 CRESCENT GRN STE 305",
"city": "CARY",
"state": "NC",
"postal_code": "275188118",
"telephone_number": "919-850-5910",
"fax_number": "919-701-4641"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 CRESCENT GRN STE 305",
"city": "CARY",
"state": "NC",
"postal_code": "275188118",
"telephone_number": "919-850-5910",
"fax_number": "919-701-4641"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOSS",
"first_name": "MADISON",
"middle_name": "MCKINNEY",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-06-19",
"last_updated": "2025-03-11",
"certification_date": "2025-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MO",
"license": "2020015993",
"primary": false
},
{
"code": "152WC0802X",
"taxonomy_group": "",
"desc": "Optometrist, Corneal and Contact Management",
"state": "NC",
"license": "2647",
"primary": false
},
{
"code": "152WC0802X",
"taxonomy_group": "",
"desc": "Optometrist, Corneal and Contact Management",
"state": "MO",
"license": "2020015993",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NC",
"license": "2647",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MADISON",
"last_name": "MCKINNEY",
"middle_name": "ELIZABETH",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Cary, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.