Organization Active NPI

Mmy Louisville

Doing business as Bowersox Vision Center

  • Optometrist
  • Shelbyville, KY
National Provider Identifier
1932929973
Registry record updated Dec 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
MMY LOUISVILLE
Doing business as
Bowersox Vision Center
Practice address
403 Washington St
Shelbyville, KY 40065-1127
Phone
(502) 398-3937
NPI assigned
Oct 15, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2024

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

Authorized official

Name
Dr. Matthew MooneyNPI 1518166610
Title
Owner/Optometrist
Phone
(502) 538-4362

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)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

403 Washington St
Shelbyville, KY 40065-1127

Mailing address

PO Box 1374
Shelbyville, KY 40066-1374

Other practice location 1

3701 Hopewell Rd Ste 900
Louisville, KY 40299-5395
Phone (502) 398-3937

Other names 1

  • Bowersox Vision Center Doing business as

National Provider Directory

National Provider Directory

Locations

3701 Hopewell Rd
Ste 900
Louisville, KY 40299
Phone (502) 398-3937

403 Washington St
Shelbyville, KY 40065
Phone (502) 647-3937

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1728950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734566400000",
    "number": "1932929973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1374",
            "city": "SHELBYVILLE",
            "state": "KY",
            "postal_code": "400661374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 WASHINGTON ST",
            "city": "SHELBYVILLE",
            "state": "KY",
            "postal_code": "400651127",
            "telephone_number": "502-398-3937"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3701 Hopewell Rd Ste 900",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402995395",
            "country_code": "US",
            "telephone_number": "502-398-3937",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MMY LOUISVILLE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-15",
        "last_updated": "2024-12-19",
        "certification_date": "2024-12-19",
        "status": "A",
        "authorized_official_last_name": "MOONEY",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "OWNER/OPTOMETRIST",
        "authorized_official_telephone_number": "502-538-4362",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bowersox Vision Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bowersox Vision Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Shelbyville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 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.