Tiffany V Mooney, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

2791 Issued in AR

Practice address

4104 Richards Rd
North Little Rock, AR 72117-2652

Phone

(501) 224-5658

Fax

(501) 224-8114

NPI assigned

Mar 13, 2019

Last updated

May 5, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Tiffany V Brown Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in AR

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

Specialty

Optometry

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Little Rock Eye Clinic LLPGroup PAC ID 3476535121, 17 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

93.28 of 100Reported as group

Quality

92.15

Promoting interoperability

92

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: tiffanymooneyod@littlerockeyeclinic.medentdirect.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Little Rock Eye Clinic, LLP

  • Ophthalmology Physician
  • Little Rock, AR
  • NPI 1992764914

  Optometrist

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1552435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683244800000",
    "number": "1316406945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 EXECUTIVE CT STE A",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722054536",
            "telephone_number": "501-224-5658",
            "fax_number": "501-224-8114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4104 RICHARDS RD",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721172652",
            "telephone_number": "501-224-5658",
            "fax_number": "501-224-8114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOONEY",
        "first_name": "TIFFANY",
        "middle_name": "V",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-13",
        "last_updated": "2023-05-05",
        "certification_date": "2023-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AR",
            "license": "2791",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "2791",
            "state": "AR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "other",
            "affiliation": "Y",
            "affiliationName": "Little Rock Eye Clinic, LLP",
            "address_1": "4104 Richards Rd",
            "city": "North Little Rock",
            "state": "AR",
            "country_code": "US",
            "postal_code": "721172652",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "TIFFANY",
            "last_name": "BROWN",
            "middle_name": "V",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Mary Louise Montgomery, B.S.
• Maurice Moody
• Kerry Moon
• Stacey Moon, APRN, MNSC, AGACNPBC
• Scott Ryan Mooney, PHD, ABPP
• Aislinn Moore
• Breanna Kishay Moore
• Brett Moore
• Eugene Moore
• Ian J Moore, PHD, LP

• Optometrist in North Little Rock, AR
• Providers in North Little Rock, AR by specialty
• Optometrist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.