DR. EVERETT ALBERT MOODY (NPI# 1154326726) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154326726 |
| Entity Type | Individual |
| Full Name | DR. EVERETT ALBERT MOODY |
| Credential | M.D. |
| Practice Address |
3200 N Macarthur Blvd Ste 200 Irving TX 75062-4404 |
| Practice Telephone | 9722587979 |
| Practice Fax Number | 9725705502 |
| Mailing Telephone | 9722587979 |
| Mailing Fax Number | 9725705502 |
| Enumeration Date | 2005-06-20 |
| Last Update Date | 2007-07-09 |
| NPI Deactivation Date | 03/20/2006 |
| NPI Reactivation Date | 2006-03-24 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | D0977 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BLUE LINK ID | 2224973 | 01 |
| TX | AMERIGROUP ID | 74309 | 01 |
| TX | BLUE CROSS BLUE SHEILD | 8091K0 | 01 |
| TX | OPTICARE ID | 11369 | 01 |
| TX | COMMISSION FOR THE BLIND | 9001 | 01 |
| TX | PARKLAND MEDICAID ID | 4821 | 01 |
| Street Address |
3200 N MACARTHUR BLVD STE 200 |
| City | IRVING |
| State | TX |
| Zip Code | 75062-4404 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730793555 | Delaram Mostafavi | Dentist | 3200 N Macarthur Blvd, Irving, TX 75062-4404 | 2020-08-31 |
| 1356899827 | Kaydene Maitland | Counselor | 3200 N Macarthur Blvd, 101, Irving, TX 75062-4404 | 2016-09-14 |
| 1053628750 | Cary P. Dan, P.C. | Chiropractor | 3200 N Macarthur Blvd, Suite 103, Irving, TX 75062-4404 | 2010-09-02 |
| 1407062979 | Edna Craven | Chiropractor | 3200 N Macarthur Blvd, Suite 105, Irving, TX 75062-4453 | 2007-05-14 |
| 1427189968 | Ophthalmology Consultants Pa | Clinic/Center | 3200 N Macarthur Blvd, Suite 200, Irving, TX 75062-4453 | 2007-03-08 |
| 1003967993 | Gordon Chenoweth Sauer Jr. | Clinical Neuropsychologist | 3200 N Macarthur Blvd, Suite 101, Irving, TX 75062-4453 | 2007-01-16 |
| 1780770644 | Triet Tran | Dentist | 3200 N Macarthur Blvd, Ste 212, Irving, TX 75062 | 2006-10-05 |
| 1538176904 | L Kay Byers | Counselor | 3200 N Macarthur Blvd, Ste. 101, Irving, TX 75062-4404 | 2006-08-01 |
| 1194750406 | Mary Colleen Walters | Optometrist | 3200 N Macarthur Blvd, Ste 200, Irving, TX 75062-4453 | 2006-07-12 |
| 1750312120 | David A Willingham | Optometrist | 3200 N Macarthur Blvd, Suite 200, Irving, TX 75062-4453 | 2006-07-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164029039 | Parham Dental Team, Pllc | Dentist | 3100 N O'connor Rd, # 100, Irving, TX 75062 | 2020-10-05 |
| 1649896119 | Evolve Medical Supply & Equipment, LLC | Durable Medical Equipment & Medical Supplies | 4953 N. O'connor Rd., Suite 150, Irving, TX 75062 | 2020-06-22 |
| 1376198507 | Sanitas Medical Center of Texas Pa | Family Medicine | 3917 West Airport Freeway, Irving, TX 75062 | 2019-08-05 |
| 1295392306 | Rami Marwan El-bkaily | Optometrist | 4100 W Airport Fwy Unit 100, Irving, TX 75062 | 2019-05-23 |
| 1891352118 | Smazy Enterprise LLC | Optometrist | W. Airport Freeway, Ste 122, Irving, TX 75062 | 2019-05-22 |
| 1568029023 | Bcs Management LLC | Physical Therapist | 2642 N Belt Line Rd, Suite 2642, Irving, TX 75062 | 2019-05-21 |
| 1639633696 | In His Image Counseling Center, Pllc | Marriage & Family Therapist | 4425 W. Airport Fwy, Suite 244, Irving, TX 75062 | 2019-01-24 |
| 1316446701 | Thinh Le | Dentist | 4040 W. Northgate Dr., Irving, TX 75062 | 2018-02-12 |
| 1366972259 | Erick Marquez | Dentist | 118 E John W Carpenter Fwy, #170, Irving, TX 75062 | 2017-06-14 |
| 1740718584 | Cosmetic Companions LLC | Home Health | 320 Decker Dr Ste 100, Irving, TX 75062 | 2017-05-24 |
| Find all providers in zip 75062 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225545460 | Kuriachan Eye Institute, Pllc | Ophthalmology | 6750 N Macarthur Blvd Ste 331, Irving, TX 75039 | 2018-01-09 |
| 1053706184 | Kyle Maclean | Ophthalmology | 440 W Interstate 635 #300, Irving, TX 75063 | 2015-04-06 |
| 1861718942 | Jennifer Hsuleejen Cao | Ophthalmology | 6500 Sierra Dr # 170, Irving, TX 75039-2480 | 2010-04-14 |
| 1699972364 | Kartik Sampath Kumar | Ophthalmology | 3200 N Macarhur Blvd, Suite 200, Irving, TX 75062-1521 | 2007-06-27 |
| 1710035324 | Jerald Lee Tennant | Ophthalmology | 5601 N Macarthur Blvd, Suite 200, Irving, TX 75038-2606 | 2007-01-08 |
| 1093807703 | Sidney K Gicheru | Ophthalmology | 440 W Lbj Freeway, Suite 300 Plaza II, Irving, TX 75063 | 2006-09-29 |
| 1124058664 | Subir S Bhatia | Ophthalmology | 510 Ranch Trl, Suite 100, Irving, TX 75063-4878 | 2006-07-03 |
| 1134175904 | David K Gregory | Ophthalmology | 440 W Ih 635 Fwy, Suite 415, Irving, TX 75063-3707 | 2006-05-25 |
| 1689675746 | Robert S. Eisenberg | Ophthalmology | 3636 N Macarthur Blvd, Suite 135, Irving, TX 75062-3691 | 2005-08-10 |
| 1396375077 | Janice Ren Shaver | Ophthalmology | 12657 Seneca Rd, Irving, NY 14081-9707 | 2020-01-22 |
| Find all providers in IRVING | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.