Organization
CROSSTOWN EYECARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. D. PENN MOODY O.D. (MEMBER)
(765) 342-5497
Entity
Organization
Contact information
Practice address
990 S MARION ST, MARTINSVILLE, IN 46151-2438
(765) 342-5497
(765) 349-1922
Mailing address
990 S MARION ST, MARTINSVILLE, IN 46151-2438
(765) 342-5497
(765) 349-1922
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18001808B
IN
332H00000X
Eyewear Supplier
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02875
SPECTERA
IN
05
—
23091
—
IN
01
—
4434
DAVIS VISION
IN
01
—
7653425497
VISION SERVICE PLAN
IN
01
—
IN1808
EYEMED
IN
Enumeration date
03/12/2008
Last updated
12/14/2010
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us