Spencer T Moy OD PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

004921 Issued in NY

Legal business name

SPENCER T MOY OD PLLC

Practice address

128 Mott St
Ste. 303
New York, NY 10013-5540

Phone

(646) 649-3430

NPI assigned

Dec 27, 2013

Organization subpart

No

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

Authorized official

Name

Spencer T. Moy, ODNPI 1710973557

Title

OD/Owner

Phone

(646) 649-3430

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Spencer T Moy, OD

  • Optometrist
  • Brooklyn, NY
  • NPI 1710973557
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1388102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388102400000",
    "number": "1679994271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 MOTT ST",
            "address_2": "STE. 303",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100135540",
            "telephone_number": "646-649-3430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 MOTT ST",
            "address_2": "STE. 303",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100135540",
            "telephone_number": "646-649-3430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPENCER T MOY OD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-27",
        "last_updated": "2013-12-27",
        "status": "A",
        "authorized_official_last_name": "MOY",
        "authorized_official_first_name": "SPENCER",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "OD/OWNER",
        "authorized_official_telephone_number": "646-649-3430",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NY",
            "license": "004921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cassandra Diandra Spence, MSN, RN, FNP-BC
• Daniel Spence
• Jacqueline Spence, RDN
• Rachael A Spence, FNP-BC
• Spencer E Sherman MDPC
• Andrene Spencer-Lovejoy, PSYD
• Camille Ally Spencer-Salmon, PHD
• Barbara Spencer, NP
• Bradley Spencer, LCSW
• Dionne Spencer, CCC-SLP

• Optometrist in New York, NY
• Providers in New York, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2013; 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.