DEBORAH W. MOODY LICENSED DISPENSING – NPI #1053832402
Technician/Technologist

DEBORAH MOODY is a technician located in LITHONIA, GA. NPPES has assigned the NPI number 1053832402 to DEBORAH MOODY on July 06, 2017. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 156FX1800X from the Health Care Provider Taxonomy code set, which is classified as Technician/Technologist, specializing in Optician

The NPI profile was previously updated about 4 years ago on Jul 21, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for DEBORAH MOODY below.

NPI Profile for
DEBORAH W. MOODY

NPI Number
1053832402
Enumeration Date

(about 9 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
DEBORAH W. MOODY
Credentials
LICENSED DISPENSING
Primary location
6803 EDMONTON CT.
LITHONIA, GA 30058
Phone: (404) 618-0212 Fax:
Mailing address
PO BOX 1483
LITHONIA, GA 30058-4412
Phone: (404) 618-0212 Fax:
Sole Proprietor
No
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
156FX1800X
- Technician/Technologist / Optician (Primary)
GA LDO001395

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.