Dr. E. Jack Moomey, PC

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT000709 Issued in GA

Legal business name

DR. E. JACK MOOMEY, PC

Practice address

127 S Belair Rd
Martinez, GA 30907-9111

Phone

(706) 869-1800

NPI assigned

Feb 22, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Elton Jack Moomey, OD

Title

Owner

Phone

(706) 869-1800

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1962537993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 S BELAIR RD",
            "city": "MARTINEZ",
            "state": "GA",
            "postal_code": "309079111",
            "telephone_number": "706-869-1800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 S BELAIR RD",
            "city": "MARTINEZ",
            "state": "GA",
            "postal_code": "309079111",
            "telephone_number": "706-869-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. E. JACK MOOMEY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MOOMEY",
        "authorized_official_first_name": "ELTON",
        "authorized_official_middle_name": "JACK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "706-869-1800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT000709",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTOMETRY LIC. NO.",
            "identifier": "OPT000709",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Martinez, GA
• Providers in Martinez, GA by specialty
• Optometrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.