Crosstown Eyecare LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

18001808B Issued in IN

Legal business name

CROSSTOWN EYECARE LLC

Practice address

990 S Marion St
Martinsville, IN 46151-2438

Phone

(765) 342-5497

Fax

(765) 349-1922

NPI assigned

Mar 12, 2008

Last updated

Dec 14, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. D. Penn Moody, O.D.NPI 1952369282

Title

Member

Phone

(765) 342-5497

Specialties & licenses 2

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Shana D. Hunt, O.D.

  • Optometrist
  • Martinsville, IN
  • NPI 1134265838
  Medicare reassignment NPD
• D Penn Moody, O.D.

  • Optometrist
  • Indianapolis, IN
  • NPI 1952369282
  NPD (past) Authorized official
• Amy Crystal Cardis, OD

  • Optometrist
  • Indianapolis, IN
  • NPI 1659718476
  NPD (past)
• Amy Iddins, O.D.

  • Optometrist
  • Carmel, IN
  • NPI 1992173405
  NPD (past)
• Jessica Lee Lambert Moore, O.D.

  • Optometrist
  • Anderson, IN
  • NPI 1588004550
  NPD (past)
• Philip Salamander, M.A., CCC-A

  • Audiologist
  • Martinsville, IN
  • NPI 1003847765
  NPD (past)
• Brian Charles Swift, O.D.

  • Optometrist
  • Lebanon, IN
  • NPI 1003934118
  NPD (past)

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

{
    "created_epoch": "1205280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292284800000",
    "number": "1619148145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "990 S MARION ST",
            "city": "MARTINSVILLE",
            "state": "IN",
            "postal_code": "461512438",
            "telephone_number": "765-342-5497",
            "fax_number": "765-349-1922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "990 S MARION ST",
            "city": "MARTINSVILLE",
            "state": "IN",
            "postal_code": "461512438",
            "telephone_number": "765-342-5497",
            "fax_number": "765-349-1922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSSTOWN EYECARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-12",
        "last_updated": "2010-12-14",
        "status": "A",
        "authorized_official_last_name": "MOODY",
        "authorized_official_first_name": "D.",
        "authorized_official_middle_name": "PENN",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "765-342-5497",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18001808B",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DAVIS VISION",
            "identifier": "4434",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYEMED",
            "identifier": "IN1808",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "23091",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VISION SERVICE PLAN",
            "identifier": "7653425497",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPECTERA",
            "identifier": "02875",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Community Partners in Prenatal Care Inc
• Logan Cook
• Coordinated Aging Services
• Dylan Courtney
• Scott Crays
• Crosstown Optical (Crosstown Eyecare)
• Aaron Booth Cunningham, OD
• Kelly Lynne Cunningham, OD
• Nestor Ortega Daba
• Dalton Medical Transport

• Optometrist in Martinsville, IN
• Providers in Martinsville, IN by specialty
• Optometrist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.