Mooney Eyecare Centre, PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

MOONEY EYECARE CENTRE, PLLC

Practice address

6287 Taylorsville Rd Ste 2
Fisherville, KY 40023-7410

Phone

(502) 538-4362

NPI assigned

Nov 8, 2024

Last updated

Nov 8, 2024By 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

Matthew Lutes Mooney, ODNPI 1518166610

Title

Owner/Optometrist

Phone

(502) 538-4362

Specialties & licenses 1

Addresses

Tax ID family

Mooney Eyecare Centre PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Mooney Eyecare Centre, PLLC

  • Optometrist
  • Bardstown, KY
  • NPI 1629892542
  NPD tax ID

Practitioners 1

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.

• Matthew Lutes Mooney, O.D.

  • Optometrist
  • Mt Washington, KY
  • NPI 1518166610
  NPD (past) Authorized official

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

{
    "created_epoch": "1731024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731024000000",
    "number": "1821812645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "327 EASTBROOKE POINTE DR STE 100",
            "city": "MOUNT WASHINGTON",
            "state": "KY",
            "postal_code": "400475577",
            "telephone_number": "502-538-4362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6287 TAYLORSVILLE RD STE 2",
            "city": "FISHERVILLE",
            "state": "KY",
            "postal_code": "400237410",
            "telephone_number": "502-538-4362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOONEY EYECARE CENTRE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-08",
        "last_updated": "2024-11-08",
        "certification_date": "2024-11-08",
        "status": "A",
        "authorized_official_last_name": "MOONEY",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "LUTES",
        "authorized_official_title_or_position": "OWNER/OPTOMETRIST",
        "authorized_official_telephone_number": "502-538-4362",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Fisherville, KY
• Providers in Fisherville, KY by specialty
• Optometrist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.