Troy A Moats, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1665DT Issued in KY

Practice address

1401 Alliant Ave
Louisville, KY 40299-6372

Phone

(502) 267-6567

Fax

(502) 267-0055

NPI assigned

Feb 15, 2006

Sex

Male

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

Medicare fee-for-service enrollment

Enrolled in KY

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

Illinois College of Optometry at Chicago, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ky Doctors of Optometry, PLLCGroup PAC ID 0941108732, 64 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Ky Doctors of Optometry, PLLC

  • Optometrist
  • Louisville, KY
  • NPI 1700890001

  KY

  Medicare reassignment Care Compare group
• Partners in Eyecare, PSC

  • Optometrist
  • Jeffersontown, KY
  • NPI 1851841712
  NPD Authorized official
• Bowersox Vision Center PSC

  • Optometrist
  • Shelbyville, KY
  • NPI 1720115702

  KY

  Medicare reassignment
• Tri-State Doctors of

  • Eyewear Supplier
  • Louisville, KY
  • NPI 1275617276

  Optometrist

  NPD
• Don Sealock, O.D., P.a.

  • Optometrist
  • Plymouth, MN
  • NPI 1497785620
  NPD (past)
• Hometown Eye Care, Inc

  • Optometrist
  • Big Lake, MN
  • NPI 1841221785
  NPD (past)

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

{
    "created_epoch": "1139961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593388800000",
    "number": "1528032794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12123 SHELBYVILLE RD",
            "address_2": "SUITE 100 #311",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402431079",
            "telephone_number": "502-267-6567",
            "fax_number": "502-267-0055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 ALLIANT AVE",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402996372",
            "telephone_number": "502-267-6567",
            "fax_number": "502-267-0055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOATS",
        "first_name": "TROY",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-15",
        "last_updated": "2020-06-29",
        "certification_date": "2020-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KY",
            "license": "1665DT",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "630022700",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tinomudaishe Mkorombindo
• MM Medical Transportation
• MMR Cardiovascular Consulting
• Chloe Moakler, LCSW
• Shelley R Moats, AUD
• Linda S Moberly, PT
• Mobile Healthcare
• Mobile MD Holdings LLC
• Mobile Med Inc
• Mobile Med Inc

• Optometrist in Louisville, KY
• Providers in Louisville, KY by specialty
• Optometrist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2020; 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.