Active NPI
Mooney Eyecare Centre, PLLC
Doing business as Mooney EyeCare Centre
- Optometrist
- Mt Washington, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1714DT
- Legal business name
- MOONEY EYECARE CENTRE, PLLC
- Doing business as
- Mooney EyeCare Centre
- Practice address
- 327 Eastbrooke Dr # 100
Mt Washington, KY 40047-5561 - Phone
- (502) 538-4362
- Fax
- (502) 538-3551
- NPI assigned
- Jul 30, 2007
- Last updated
- Oct 1, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Matthew Lutes Mooney, O.D.
- Title
- Sole Member
- Phone
- (502) 538-4632
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 1714DT | KY | Primary |
Addresses
Primary practice location
327 Eastbrooke Dr # 100
Mt Washington, KY 40047-5561
Mailing address
327 Eastbrooke Dr # 100
Mt Washington, KY 40047-5561
Phone (502) 538-4362
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100026420 | Medicaid | KY |
Other names 1
- Mooney EyeCare Centre
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
6287 Taylorsville Rd
Ste B1
Fisherville, KY 40023
Phone (502) 354-0508
223 Delaina Dr
Ste B
Mt Washington, KY 40047
Phone (502) 538-4362
327 Eastbrooke Pointe Dr
Ste 100
Mt Washington, KY 40047
Phone (502) 538-4362
Practitioners & affiliated clinicians
Practitioners 8
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.
-
- Optometrist
- Mt Washington, KY
- NPI 1518166610
-
- Optometrist
- Shelbyville, KY
- NPI 1366963274
-
- Optometrist
- Shelbyville, KY
- NPI 1093447005
-
- Optometrist
- Mt Washington, KY
- NPI 1962810531
-
- Optometrist
- Bardstown, KY
- NPI 1083844658
-
- Optometrist
- Shelbyville, KY
- NPI 1154706521
-
- Occupational Vision Optometrist
- Louisville, KY
- NPI 1093400269
-
- Optometrist
- Louisville, KY
- NPI 1801888946
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185753600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1412121600000",
"number": "1699965335",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "327 EASTBROOKE DR # 100",
"city": "MT WASHINGTON",
"state": "KY",
"postal_code": "400475561",
"telephone_number": "502-538-4362",
"fax_number": "502-538-3551"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "327 EASTBROOKE DR # 100",
"city": "MT WASHINGTON",
"state": "KY",
"postal_code": "400475561",
"telephone_number": "502-538-4362",
"fax_number": "502-538-3551"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MOONEY EYECARE CENTRE, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-07-30",
"last_updated": "2014-10-01",
"status": "A",
"authorized_official_last_name": "MOONEY",
"authorized_official_first_name": "MATTHEW",
"authorized_official_middle_name": "LUTES",
"authorized_official_title_or_position": "SOLE MEMBER",
"authorized_official_telephone_number": "502-538-4632",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "KY",
"license": "1714DT",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100026420",
"state": "KY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Mooney EyeCare Centre",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Mt Washington, KY
- Haley McVey, LCSW
- Liane McWilliams, MASSAGE THERAPIST
- Rachel Lynn Meredith, CCC-SLP
- Dianne Metzmeier
- Matthew C Mitchell, DMD
- Matthew Lutes Mooney, O.D.
- Sarah Mortensen, LCSW
- Mount Washington Health Care LLC (Green Meadows Health Care Center I)
- Mt Washington Family Dentistry Nita S Isgrigg DMD, PSC
- Mt Washington Family Practice PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2014; 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.