Individual provider Active NPI

Spencer T Moy, OD

  • Optometrist
  • Brooklyn, NY
National Provider Identifier
1710973557
Registry record updated Sep 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
UVT4921 Issued in NY
Practice address
1248 Avenue U
Brooklyn, NY 11229-4102
Phone
(718) 336-1213
NPI assigned
Sep 27, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X UVT4921 NY Primary

Addresses

Primary practice location

1248 Avenue U
Brooklyn, NY 11229-4102

Mailing address

1248 Avenue U
Brooklyn, NY 11229-4102
Phone (718) 336-1213

Other identifiers 2

IdentifierTypeStateIssuer
25533BOtherNYGHI - MEDICARE
01271145MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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

Enrollment IDStateProvider typePAC IDDetails
I20070801000153 NY Practitioner - Optometry 0941391262 Reassigns benefits to 1 organization
Practice locations: Brooklyn, NY

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
State University of New York - State College Optometry, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

128 Mott St
Suite 303
New York, NY 10013-5575
Phone (646) 649-3430

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
UVT4921NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Spencer T Moy OD PLLC Optometrist CurrentSince Dec 31, 2013 Accepting new patients

Locations

128 Mott St
Ste 303
New York, NY 10013
Phone (212) 966-7583

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1127779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189382400000",
    "number": "1710973557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1248 AVENUE U",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112294102",
            "telephone_number": "718-336-1213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1248 AVENUE U",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112294102",
            "telephone_number": "718-336-1213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOY",
        "first_name": "SPENCER",
        "middle_name": "T",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-27",
        "last_updated": "2007-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "UVT4921",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI - MEDICARE",
            "identifier": "25533B",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01271145",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.