Individual provider Active NPI

Troy Moss

  • Optometrist
  • Kingsport, TN
National Provider Identifier
1720713621
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0618003614 Issued in VA
Practice address
2101 Fort Henry Dr SPC E9
Kingsport, TN 37664-3658
Phone
(423) 246-1585
NPI assigned
Jul 24, 2022
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Optometrist 152W00000X 0618003614 VA Primary
Optometrist 152W00000X 3770 TN

Addresses

Primary practice location

2101 Fort Henry Dr SPC E9
Kingsport, TN 37664-3658

Mailing address

2101 Fort Henry Dr SPC E9
Kingsport, TN 37664-3658

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, VA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220804002576 TN Practitioner - Optometry 6608258819 Reassigns benefits to 1 organization
I20260610000755 VA Practitioner - Optometry 6608258819

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dr. Torrey J. Carlson and AssociatesGroup PAC ID 2365401510, 21 clinicians
Navigation Eye Care PLLCGroup PAC ID 7618358821, 2 clinicians

Practice addresses (Care Compare)

2600 E Stone Dr
Suite 10
Kingsport, TN 37660-5919
Phone (865) 217-1010

649 Cedar Rd
Suite 101
Chesapeake, VA 23322-8315
Phone (757) 529-6889

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery13

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Torrey J. Carlson & Associates Optometrist CurrentSince Jul 25, 2022 Accepting new patients
Luxottica of America Inc PastSince Jul 31, 2022 Accepting new patients

Locations

554 Pinnacle Pkwy
Ste 701
Bristol, TN 37620
Phone (423) 764-4017

2011 N Roan St
Johnson City, TN 37601
Phone (423) 282-0016

2101 Fort Henry Dr
Spc E9
Kingsport, TN 37664
Phone (423) 246-1416

2600 E Stone Dr
Ste 10
Kingsport, TN 37660
Phone (865) 217-1010

11289 Parkside Dr
Spc 1108
Knoxville, TN 37934
Phone (865) 217-1010

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1658620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1720713621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 FORT HENRY DR SPC E9",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376643658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 FORT HENRY DR SPC E9",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376643658",
            "telephone_number": "423-246-1585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSS",
        "first_name": "TROY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-07-24",
        "last_updated": "2026-07-13",
        "certification_date": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618003614",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "3770",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingsport, TN

Sources for this page

Verify at the official NPI Registry.